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Tivoli Mia Sisco
Mental Health Counselor in San Mateo, California
NPI 1982193728

Tivoli Mia Sisco is a Mental Health Counselor based in Saratoga, CA and is specialized in Mental Health. Tivoli Mia Sisco practices in San Mateo, CA. The NPI Number for Tivoli Mia Sisco is 1982193728 and holds a License No. (California).

The current practice location address for Tivoli Mia Sisco is 1950 Alameda De Las Pulgas, San Mateo, CA and can be reached out via phone at 650-573-3571.

Location: 1950 Alameda De Las Pulgas, San Mateo, CA, 95070-4259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982193728
Provider Name
Tivoli Mia Sisco
Credential
Provider Entity Type
Individual
Gender
Female
Address
1950 Alameda De Las Pulgas, San Mateo, CA, 95070-4259
Phone Number
650-573-3571
Fax Number
Provider Enumeration Date
05/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1950 Alameda De Las Pulgas
City
San Mateo
State
California
Zip
94403-1222
Phone Number
650-573-3571
Fax Number
person
Provider Business Mailing Address Details
Address
1950 Alameda De Las Pulgas
City
San Mateo
State
California
Zip
94403-1222
Phone Number
650-573-3571
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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