Individual
ALEXA VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
9352 OAK AVE, WACONIA, MN 55387-9422
(952) 955-4714
(952) 955-6213
Mailing address
3351 VINTON AVE APT 2, LOS ANGELES, CA 90034-3728
(507) 227-6138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19278
CA
101YP2500X
Professional Counselor
Primary
2309
MN
Other
Enumeration date
03/29/2025
Last updated
04/25/2025
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