Provider Demographics
NPI:1316698392
Name:RACHUBA, ALISON (LPC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:RACHUBA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21641 RIDGETOP CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6597
Mailing Address - Country:US
Mailing Address - Phone:571-246-6283
Mailing Address - Fax:571-258-3032
Practice Address - Street 1:21641 RIDGETOP CIR STE 200
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6597
Practice Address - Country:US
Practice Address - Phone:571-246-6283
Practice Address - Fax:571-258-3032
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701013941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional