Individual
MRS. NICOLE MARIE ALEXOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAP
Contact information
Practice address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 972-1106
(860) 346-6108
Mailing address
46 MADISON AVE, WALLINGFORD, CT 06492-5120
(203) 599-5067
(860) 346-1106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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