Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Ichaso

Individual provider Mental Health Counselor · NPI 1417804170

Kevin Ichaso is a Mental Health Counselor in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

9480 Main St # 1197
Fairfax, VA 22031-4032
Phone: (703) 509-0618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701016056 (VA)

Record details

NPI number1417804170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2026
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026

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