Individual
MS. SHARON SLOAT KUPIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICADC
Contact information
Practice address
870 LONG HILL RD, MIDDLETOWN, CT 06457-5063
(860) 346-6489
Mailing address
870 LONG HILL RD, MIDDLETOWN, CT 06457-5063
(860) 346-6489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23835
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B000698
DMHAS
CT
01
—
CTGA000525
DMHAS
CT
Enumeration date
09/11/2007
Last updated
09/11/2007
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