Healthcare Provider Details

I. General information

NPI: 1780201954
Provider Name (Legal Business Name): SABRINA SYVANKHAM LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 N 1ST ST STE 103
FRESNO CA
93720-2956
US

IV. Provider business mailing address

PO BOX 25533
FRESNO CA
93729-5533
US

V. Phone/Fax

Practice location:
  • Phone: 559-426-8619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: