Healthcare Provider Details

I. General information

NPI: 1669376836
Provider Name (Legal Business Name): ANNA-KRISTINA PATTON LCPC, LPC, RESIDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BARCLAY DR UNIT 150852
ALEXANDRIA VA
22315-8036
US

IV. Provider business mailing address

5900 BARCLAY DR UNIT 150852
ALEXANDRIA VA
22315-8036
US

V. Phone/Fax

Practice location:
  • Phone: 843-804-7940
  • Fax:
Mailing address:
  • Phone: 843-804-7940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0704015309
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC200012979
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC17356
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: