Susan C Sickora, CSAC

NPI #1740319177 in Kailua, Hawaii

Provider Information

NPI Number: 1740319177
Entity Type: Individual
Name: Susan C Sickora, CSAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CSAC
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 970 N KALAHEO AVE
Address 2: SUITE A102
City: Kailua
State: Hawaii
ZIP Code: 96734-1801
Phone: (808) 254-6484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

Provider Name	Specialty	City
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