Individual provider · Type 1 NPI

Rebecca Kerry Van Sickle

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1871847889 Active

Practice location

9500 Malech Rd
San Jose, CA 95138

Fax (408) 281-6580

Mailing address

PO Box 13219
Coyote, CA 95013-3219

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871847889

Rebecca Kerry Van Sickle's National Provider Identifier is 1871847889, issued on Oct 30, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Oct 30, 2012.