Individual
MR. JOHN WILLIAM WICKIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2 CARDINAL PARK DR, 104A, LEESBURG, VA 20175
(703) 715-6171
Mailing address
2 CARDINAL PARK DR, SUITE 104A, LEESBURG, VA 20175
(703) 715-6171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
VA
103T00000X
Psychologist
Primary
—
VA
106H00000X
Marriage & Family Therapist
—
VA
Other
Enumeration date
02/12/2007
Last updated
09/11/2025
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