person
Carly Ikuma
Professional Counselor in Fairfax, Virginia
NPI 1427571629

Carly Ikuma is a Professional Counselor based in Fairfax, VA and is specialized in Professional. Carly Ikuma practices in Fairfax, VA. The NPI Number for Carly Ikuma is 1427571629 and holds a License No. 0701006987 (Virginia).

The current practice location address for Carly Ikuma is 9663 Main St Ste D, Fairfax, VA and can be reached out via phone at 703-303-8832.

Location: 9663 Main St Ste D, Fairfax, VA, 22031-3758
person
Provider Profile Details
NPI Number
1427571629
Provider Name
Carly Ikuma
Credential
Provider Entity Type
Individual
Gender
Female
Address
9663 Main St Ste D, Fairfax, VA, 22031-3758
Phone Number
703-303-8832
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9663 Main St Ste D
City
State
Zip
22031-3758
Phone Number
703-303-8832
Fax Number
person
Provider Business Mailing Address Details
Address
9663 Main St Ste D
City
State
Zip
22031-3758
Phone Number
703-303-8832
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701006987 (Virginia)
Definition
Definition to come...
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