Provider Demographics
NPI:1891321022
Name:CARICKHOFF, EMILY ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELIZABETH
Last Name:CARICKHOFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 WALKER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBROOK
Mailing Address - State:VA
Mailing Address - Zip Code:24459-2358
Mailing Address - Country:US
Mailing Address - Phone:540-632-9486
Mailing Address - Fax:
Practice Address - Street 1:52 WALKER CREEK RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBROOK
Practice Address - State:VA
Practice Address - Zip Code:24459-2358
Practice Address - Country:US
Practice Address - Phone:540-632-9486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007997101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor