Healthcare Provider Details

I. General information

NPI: 1720600885
Provider Name (Legal Business Name): CAITRIN LEE ALLINGHAM LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 HUNTER MILL RD STE 23
OAKTON VA
22124-1716
US

IV. Provider business mailing address

2915 HUNTER MILL RD STE 23
OAKTON VA
22124-1716
US

V. Phone/Fax

Practice location:
  • Phone: 703-946-5932
  • Fax: 703-255-1190
Mailing address:
  • Phone: 703-946-5932
  • Fax: 703-255-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701009051
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: