Ivy Ickes's National Provider Identifier (NPI) Details
Ivy Ickes, LCSW
NPI: 1720312234
Enumeration Date: 2009-09-30
Last updated: 2022-04-01
Sole Proprietor: NO
Status: active
Postal Address: 4131 S BRAESWOOD BLVD, HOUSTON, TX
Phone: 713-667-9336
Primary Practice Address: 4331 ROBERTSON ST, HOUSTON, TX
Practice's phone: 832-795-1435