Individual
CHRIS SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1451801221
CA
175T00000X
Peer Specialist
Primary
MPSS-QKPUTJ
CA
Other
Enumeration date
11/02/2022
Last updated
04/19/2024
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