Evangeline Alston
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Alexandria, VA
NPI 1942548490 · NPPES record last updated Jan 17, 2013
Key facts
- NPI
- 1942548490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4819 Isenhower Ave.
Suite C
Alexandria, VA 23304 - Phone
- (301) 765-4258
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4819 Isenhower Ave.
Suite C
Alexandria, VA 23304
Mailing address
5307 Halibut PL
Waldorf, MD 20603-4232
Other providers in Alexandria, VA
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- Amy E Alsafty
- Ericka Celeen Alston
- Jelal Alsubai
- Alta Beacon, LLC
- Alternative Paths Training School
- Altimate Home Health Care Services Inc.
- Marcio Antonio Alvarado
All providers in Alexandria, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.