Individual
KSENIA RYCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19000 HOMESTEAD RD, CUPERTINO, CA 95014-0712
(408) 366-4400
Mailing address
19000 HOMESTEAD RD, CUPERTINO, CA 95014-0712
(408) 366-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
06/12/2026
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