Individual provider · Type 1 NPI
Mark Sickora Jr., CDCA
Addiction (Substance Use Disorder) Counselor · Cleveland Heights, OH
NPI number
1508325937
Active
Practice location
2490 Lee Blvd Ste 200
Cleveland Heights, OH 44118-1269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.168211 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508325937
Mark Sickora Jr., CDCA's National Provider Identifier is 1508325937, issued on Mar 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland Heights, OH. The record was last updated on Mar 15, 2019.