Individual provider · Type 1 NPI
John Ickowski
Mental Health Counselor · Vero Beach, FL
NPI number
1659157717
Active
Practice location
3222 Sussex Way
Vero Beach, FL 32966-6473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PC015817 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1659157717
John Ickowski's National Provider Identifier is 1659157717, issued on Sep 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vero Beach, FL. The record was last updated on Sep 5, 2023.