Wickizer, John William

Wickizer, John William is an individual health care provider with primary practice located at 2 Cardinal Park Dr 104A, Leesburg VA 20175. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wickizer, John William can be contacted via phone (703) 715-6171.

Contact Information

Primary practice address
2 Cardinal Park Dr 104A Leesburg VA 20175
Phone: (703) 715-6171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Virginia

Profile Details

NPI number 1740321629
LBN Legal business name Wickizer, John William
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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