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Individual

DONALD M. VAN SICKLE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
701 W APACHE ST, FARMINGTON, NM 87401-5511
(505) 327-7777
Mailing address
4751 SUNDANCE RD, FARMINGTON, NM 87401-9313
(505) 326-1074

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0183
NM
103TS0200X
School Psychologist
Primary
224-044
NM

Other

Enumeration date
08/02/2006
Last updated
09/11/2025
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