Individual
EMILY VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, LPC
Contact information
Practice address
1504 SANTA ROSA RD RM 208, RICHMOND, VA 23229-5109
(804) 288-6272
Mailing address
1504 SANTA ROSA RD RM 208, RICHMOND, VA 23229-5109
(804) 288-6272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012284
VA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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