Individual
SOFIA SIENA VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22505 WOODROE AVE, HAYWARD, CA 94541-3410
(510) 613-0330
Mailing address
22505 WOODROE AVE, FAIRVIEW, CA 94541-3410
(510) 537-1688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
17761
CA
Other
Enumeration date
07/30/2022
Last updated
03/30/2026
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