Individual
CHARLES RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3919 BLENHEIM BLVD STE 83B, FAIRFAX, VA 22030-2430
(571) 354-0999
Mailing address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704014017
VA
Other
Enumeration date
12/14/2021
Last updated
01/09/2024
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