Individual
MR. DWIGHT POSTELL VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9401 CENTREVILLE RD STE 201, MANASSAS, VA 20110-5155
(703) 398-0183
Mailing address
9401 CENTREVILLE RD STE 201, MANASSAS, VA 20110-5155
(703) 398-0183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007085
VA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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