| Doctor Name: | ALYCIA GAYLE BURANT |
| NPI Number: | 1013349232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701006079 |
| Business Practice Address: | 10560 Main St Suite 518 Fairfax, VA - 220307182 |
| Business Phone Number: | 7033492999 |
| Business Fax Number: | |
| Mailing Address: | 4191 S Four Mile Run Dr, Unit 203 ARLINGTON |
| State: | VA |
| Postal Code: | 222043937 |
| Phone Number: | 7033803345 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2013 |
| NPI Last Update Date: | 02/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701006079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |