Jeffrey Stickles, LADC

NPI #1609316561 in Glastonbury, Connecticut

Provider Information

NPI Number: 1609316561
Entity Type: Individual
Name: Jeffrey Stickles, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Feb 26, 2017
Last Updated: Feb 26, 2017

Practice Location

Address: 240 CAVAN LN
City: Glastonbury
State: Connecticut
ZIP Code: 06033-2405
Phone: (203) 376-9265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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