Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sofia Siena Van Sickle

Individual provider Mental Health Counselor · NPI 1073249116

Sofia Siena Van Sickle is a Mental Health Counselor in Hayward, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

22505 Woodroe Ave
Hayward, CA 94541-3410
Phone: (510) 613-0330
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 17761 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1073249116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2022
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address22505 Woodroe Ave, Fairview, CA 94541-3410

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