Wickizer, John William
Wickizer, John William is an individual health care provider with primary practice located at 2 Cardinal Park Dr 104A, Leesburg VA 20175. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wickizer, John William can be contacted via phone (703) 715-6171.Contact Information
Primary practice address
2 Cardinal Park Dr 104A
Leesburg VA 20175
Phone: (703) 715-6171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Virginia | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Virginia | |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Virginia |
Profile Details
| NPI number | 1740321629 |
|---|---|
| LBN Legal business name | Wickizer, John William |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Sep 11th, 2025 - about last year |
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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