Individual provider · Type 1 NPI
Jeffrey Stickles, LADC
Addiction (Substance Use Disorder) Counselor · Glastonbury, CT
NPI number
1609316561
Active
Practice location
240 Cavan Ln
Glastonbury, CT 06033-2405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1068 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609316561
Jeffrey Stickles, LADC's National Provider Identifier is 1609316561, issued on Feb 26, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glastonbury, CT. The record was last updated on Feb 26, 2017.