Provider Demographics
NPI:1982582730
Name:GUNN, ALEXANDRIA
Entity type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:
Last Name:GUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 JENNY LN
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-6288
Mailing Address - Country:US
Mailing Address - Phone:312-316-0329
Mailing Address - Fax:
Practice Address - Street 1:2766 ELECTRIC RD STE 201
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3583
Practice Address - Country:US
Practice Address - Phone:540-344-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health