person
Charles Ricker, LPC
Professional Counselor in Fairfax, Virginia
NPI 1861151235

Charles Ricker is a Professional Counselor based in Fairfax, VA and is specialized in Professional. Charles Ricker practices in Fairfax, VA and has the professional credentials of LPC. The NPI Number for Charles Ricker is 1861151235 and holds a License No. 0704014017 (Virginia).

The current practice location address for Charles Ricker is 3919 Blenheim Blvd Ste 83B, Fairfax, VA and can be reached out via phone at 571-354-0999. You can also correspond with Charles Ricker through the mailing address at 8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA - 22031-4512 (mailing address contact number: ).

Location: 3919 Blenheim Blvd Ste 83B, Fairfax, VA, 22031-4512
person
Provider Profile Details
NPI Number
1861151235
Provider Name
Charles Ricker
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3919 Blenheim Blvd Ste 83B, Fairfax, VA, 22031-4512
Phone Number
571-354-0999
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3919 Blenheim Blvd Ste 83B
City
State
Zip
22030-2430
Phone Number
571-354-0999
Fax Number
person
Provider Business Mailing Address Details
Address
3919 Blenheim Blvd Ste 83B
City
State
Zip
22030-2430
Phone Number
571-354-0999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0704014017 (Virginia)
Definition
Definition to come...
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