Individual
TERRI SICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(858) 568-0119
Mailing address
4608 33RD ST APT 1, SAN DIEGO, CA 92116-3364
(858) 568-0119
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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