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Individual
KENYATTA SADIKI
Active
Individual
KENYATTA SADIKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC, CART
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14393
TX
106S00000X
Behavior Technician
—
NULL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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