Provider Demographics
NPI:1881306389
Name:ROZEWICZ, ALLISON SHEPARD (LPC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:SHEPARD
Last Name:ROZEWICZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 BOUNDS ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-1201
Mailing Address - Country:US
Mailing Address - Phone:540-847-4507
Mailing Address - Fax:
Practice Address - Street 1:2126 RICHMOND HWY STE 103
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7294
Practice Address - Country:US
Practice Address - Phone:540-658-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012054101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional