Individual provider · Type 1 NPI

Alexa Vansickle, MA, LPCC

Professional Counselor · Waconia, MN

NPI number 1508669110 Active

Practice location

9352 Oak Ave
Waconia, MN 55387-9422

Fax (952) 955-6213

Mailing address

3351 Vinton Ave Apt 2
Los Angeles, CA 90034-3728

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X19278 (CA)
Professional Counselor Primary 101YP2500X2309 (MN)

Professional Counselor: Definition to come...

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About NPI 1508669110

Alexa Vansickle, MA, LPCC's National Provider Identifier is 1508669110, issued on Mar 29, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waconia, MN. The record was last updated on Apr 25, 2025.