Individual
ALEXANDRA MACKAY-SMITH KEIRSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Mailing address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701008653
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF COUNSELING
VA
Enumeration date
09/30/2019
Last updated
09/30/2019
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