MR. MARK SICKORA CDCA NPI 1508325937

NPI Information

  • NPI: 1508325937
  • Provider Name: MR. MARK SICKORA, CDCA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2490 LEE BLVD STE 200
    CLEVELAND HEIGHTS, OH
    ZIP 44118
  • Phone: (216) 417-5011

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NPI Details

MR. Mark Sickora, CDCA is an addiction (substance use disorder) counselor in Cleveland Heights, OH. MR. Mark Sickora, CDCA NPI is 1508325937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2490 LEE BLVD STE 200
CLEVELAND HEIGHTS, OH
ZIP 44118-269
Phone: (216) 417-5011

The enumeration date for this NPI number is 3/15/2019 and was last updated on 3/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.168211OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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