Individual
KARLA DIANE SIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
516 MEADOW LN, FORNEY, TX 75126-4912
(469) 600-9476
Mailing address
516 MEADOW LN, FORNEY, TX 75126-4912
(469) 600-9476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
10/01/2020
Last updated
10/01/2020
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