Individual provider · Type 1 NPI

Kristy Ickes

Mental Health Counselor · Mechanicsburg, PA

NPI number 1063986115 Active

Practice location

960 Century Dr
Mechanicsburg, PA 17055-4530

Fax (717) 795-1106

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063986115

Kristy Ickes's National Provider Identifier is 1063986115, issued on Jan 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mechanicsburg, PA. The record was last updated on Jan 11, 2019.