Individual
KRISTEN STICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
75 NORTH MOUNTAIN ROAD, NEW BRITAIN, CT 06053
(860) 224-6300
Mailing address
74 EAST STREET, PLAINVILLE, CT 06062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44.001131
CT
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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