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

Tamara Marie Mickelson

Individual provider Marriage & Family Therapist · NPI 1013240647

Tamara Marie Mickelson is a Marriage & Family Therapist in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Phone: (408) 284-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1013240647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2009
Last updated in NPPESSeptember 15, 2009

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