Individual
MISS ALEXIS MARIE VICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
13655 DULLES TECHNOLOGY DR STE 120, HERNDON, VA 20171-4634
(571) 665-4025
Mailing address
43710 MINK MEADOWS ST, CHANTILLY, VA 20152-3629
(703) 389-3723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704017793
VA
221700000X
Art Therapist
Primary
25-165
VA
Other
Enumeration date
07/24/2025
Last updated
08/11/2025
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