Theodore Daniel Hostikka, M.S., LADC, IADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Sioux City, IA
- NPI
- 1013644137
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 21R015 (IA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
Practice location
3500 W 4th St
Sioux City, IA 51103-3203
(712) 226-1899