Anna Vladimirovna Ickes, LPC
NPI #1053019901 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1053019901
- Entity Type
- Individual
- Name
- Anna Vladimirovna Ickes, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 20, 2023
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 8310 MIDLOTHIAN TPKE
- State
- Virginia
- ZIP Code
- 23235-5163
- Phone
- (804) 503-9975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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