THEODORE DANIEL HOSTIKKA

SIOUX CITY, IA
NPI1013644137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA  21R015)
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
THEODORE DANIEL HOSTIKKA M.S., LADC, IADC
3500 W 4TH ST
SIOUX CITY, IA 51103-3203
Phone number: 712-226-1899
Mailing Address
THEODORE DANIEL HOSTIKKA M.S., LADC, IADC
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number:
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