Jason Ickovitz, LMFT is a mental health counselor in Los Angeles, CA. Jason Ickovitz, LMFT NPI is 1083076368. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8170 BEVERLY BLVD
203
LOS ANGELES, CA
ZIP 90048-524
Phone: (424) 274-1564
The enumeration date for this NPI number is 3/24/2016 and was last updated on 3/24/2016.