Individual
NICKY OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 GREENSTEAD DR, STAFFORD, VA 22554-6595
(866) 968-6342
(855) 615-2876
Mailing address
384 GREENSTEAD DR, STAFFORD, VA 22554-6595
(866) 968-6342
(855) 615-2876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017343
VA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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