| Doctor Name: | MS. SEDONIA AIME HARTWICK |
| NPI Number: | 1144554999 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADAC |
| License Number: | 111395 |
| Business Practice Address: | 2200 Bergquist Ave Ste 101 59 Mhs Lackland Afb, TX - 782369907 |
| Business Phone Number: | 2102926022 |
| Business Fax Number: | 2102927712 |
| Mailing Address: | 2200 Bergquist Ave Ste 101, 59 Mhs LACKLAND AFB |
| State: | TX |
| Postal Code: | 782369907 |
| Phone Number: | 2102926022 |
| Fax Number: | 2102927712 |
| NPI Enumeration Date: | 09/28/2009 |
| NPI Last Update Date: | 09/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 111395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |