Individual provider · Type 1 NPI

Annette Lickwola, LADC

Addiction (Substance Use Disorder) Counselor · New London, CT

NPI number 1093557050 Active

Practice location

931 Bank St
New London, CT 06320-2702

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X44.001570 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093557050

Annette Lickwola, LADC's National Provider Identifier is 1093557050, issued on Jun 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New London, CT. The record was last updated on Oct 31, 2024.