Individual
ERICA VAN SKIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Mailing address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
ACSW104119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
09/01/2015
Last updated
10/14/2021
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