Ickes, Jane Lee

Ickes, Jane Lee is an individual health care provider with primary practice located at 5251-37 John Tyler Hwy Plt'S Aba Wellness Clinic, Williamsburg VA 23185. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ickes, Jane Lee can be contacted via phone (757) 846-6959.

Contact Information

Primary practice address
5251-37 John Tyler Hwy Plt'S Aba Wellness Clinic Williamsburg VA 23185
Phone: (757) 846-6959
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005652 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904007677 Virginia

Profile Details

NPI number 1508910662
LBN Legal business name Ickes, Jane Lee
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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