Tivoli Mia Sisco
Marriage & Family Therapist in San Mateo, CA. Individual provider (NPI-1).
NPI number1982193728
StatusActive
Last updated in NPPESJun 14, 2025
Details
- NPI
- 1982193728
- Entity type
- Individual (NPI-1)
- Name
- Tivoli Mia Sisco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2018
- Certification date
- Jun 14, 2025
- Last updated
- Jun 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 130102 | CA | Yes |
Practice location
1950 Alameda De Las PulgasSan Mateo, CA 94403-1222
Phone 650-573-3571
Mailing address
27022 Dezahara WayLos Altos Hills, CA 94022-4347
Phone 408-896-6055
Other practice locations
251 Jackson Ave
Redwood City, CA 94061-1630
Redwood City, CA 94061-1630
Phone 650-368-2383
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All 360 Marriage & Family Therapist providers in San Mateo · All 4,655 providers in San Mateo
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