Provider Demographics
NPI:1750671087
Name:SYKES, VANESSA RENAY (MS)
Entity type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:RENAY
Last Name:SYKES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4300 LONG BEACH BLVD
Mailing Address - Street 2:SUITE #700
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2011
Mailing Address - Country:US
Mailing Address - Phone:213-385-5100
Mailing Address - Fax:562-256-7126
Practice Address - Street 1:4300 LONG BEACH BLVD
Practice Address - Street 2:SUITE #700
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2011
Practice Address - Country:US
Practice Address - Phone:213-385-5100
Practice Address - Fax:562-256-7126
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health