NPI 1013644137
Theodore Daniel Hostikka, MSLADCIADC
Practice location
- Address
- 3500 W 4th St, Sioux City, IA 51103-3203
- Phone
- (712) 226-1899
- Mailing address
- 1021 N Mulford Rd, Rockford, IL 61107-3874
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1013644137
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Aug 2022
- Record last updated
- 8 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.