REBECCA KERRY VAN SICKLE

SAN JOSE, CA
NPI1871847889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-30
Last Update Date2012-10-30
Business Address
-- REBECCA KERRY VAN SICKLE
9500 MALECH RD
SAN JOSE, CA 95138
Phone number: 408-281-6592
Mailing Address
-- REBECCA KERRY VAN SICKLE
PO BOX 13219
COYOTE, CA 95013-3219
Phone number: 408-281-6592
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