Search › Virginia › 1041C0700X
Lauren Nickum
NPI 1992342984 · on the registry since 2019
Practice
- Address
- 8221 Willow Oaks Corporate Dr
Fairfax, VA 22031 - Phone
- (703) 352-3431
- Fax
- (703) 653-9499
- Organisation at this address
- Neighborhood Health
Neighborhood Health
Genoa Healthcare Llc
Genoa Healthcare Llc
Transformative Counseling Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 246
Additional practice sites
- 501 Church St Ne, Vienna, VA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia