Individual provider · Type 1 NPI
Charles Ricker, LPC
Professional Counselor · Fairfax, VA
NPI number
1861151235
Active
Practice location
3919 Blenheim Blvd Ste 83B
Fairfax, VA 22030-2430
Mailing address
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Other practice locations
- 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 · (703) 559-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0704014017 (VA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1861151235
Charles Ricker, LPC's National Provider Identifier is 1861151235, issued on Dec 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jan 9, 2024.