MYLISA L ICKES

MANASSAS, VA
NPI1861995060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: VA  0701007547)
Enumeration Date2018-03-14
Last Update Date2018-03-17
Business Address
MYLISA L ICKES LPC
7982 DONEGAN DRIVE
MANASSAS, VA 20109
Phone number: 571-248-2358
Mailing Address
MYLISA L ICKES LPC
7520 GARDNER PARK DR
GAINESVILLE, VA 20155-3414
Phone number: 571-248-2358
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