Provider / Organization | NPI | Date Certified |
---|---|---|
SOFIA SIENA VAN SICKLE | 1073249116 | 2022-07-30 |
Sofia Siena Van Sickle is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073249116. Registration indicates Sofia Siena Van Sickle is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Sofia Siena Van Sickle |
Practice Office Address | 2460 S VINE ST DENVER, CO US |
Practice Office Telephone | 3038713087 |
Mailing Address | 51 TALMAGE FARM LN EAST HAMPTON, NY 119374300 US |
Business Telephone | 6312047742 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |