TAMARA MARIE MICKELSON

SAN JOSE, CA
NPI1013240647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2009-09-15
Last Update Date2009-09-15
Business Address
-- TAMARA MARIE MICKELSON
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131-1888
Phone number: 408-284-9000
Mailing Address
-- TAMARA MARIE MICKELSON
701 SHELTER CREEK LN APT 8131
SAN BRUNO, CA 94066-3855
Phone number: 805-705-9808