Healthcare Provider Details

I. General information

NPI: 1124668322
Provider Name (Legal Business Name): REBECCA ALVARADO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date: 06/11/2026
Reactivation Date: 07/20/2026

III. Provider practice location address

6400 ARLINGTON BLVD STE 100010TH
FALLS CHURCH VA
22042-2325
US

IV. Provider business mailing address

6400 ARLINGTON BLVD STE 100010TH
FALLS CHURCH VA
22042-2325
US

V. Phone/Fax

Practice location:
  • Phone: 703-462-8254
  • Fax: 703-520-7746
Mailing address:
  • Phone: 703-462-8254
  • Fax: 703-520-7746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015293
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: