IndividualActive
Alexa Vansickle, MA, LPCC
NPI 1508669110 · Professional Counselor · Waconia, MN
Provider details
- NPI number
- 1508669110
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- 19278 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9352 Oak Ave
Waconia, MN 55387-9422
Phone: (952) 955-4714
Fax: (952) 955-6213
Approximate (ZIP-level) locationGet directions
Mailing address
3351 Vinton Ave Apt 2
Los Angeles, CA 90034-3728
Registry dates
- Enumerated
- 2025-03-29
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.