Individual
SUSAN C SICKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
970 N KALAHEO AVE, SUITE A102, KAILUA, HI 96734-1801
(808) 254-6484
(808) 254-6427
Mailing address
820 MILILANI ST STE 702A, HONOLULU, HI 96813-2918
(808) 523-9363
(808) 523-9418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RN26584
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022145
HMSA
HI
Enumeration date
03/02/2007
Last updated
07/08/2007
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