Mylisa L Ickes, LPC is a professional counselor in Manassas, VA. Mylisa L Ickes, LPC NPI is 1861995060. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
7982 DONEGAN DRIVE
MANASSAS, VA
ZIP 20109
Phone: (571) 248-2358
The enumeration date for this NPI number is 3/14/2018 and was last updated on 3/17/2018.