Mrs. Annette Lickwola, LADC
Counselor, Addiction (Substance Use Disorder) in New London, Connecticut
1093557050- Practice location
- 931 Bank St, New London, CT 06320-2702
- Phone
- 860-574-8256
- Fax
- —
- Last updated
- October 31, 2024
Annette Lickwola is a Counselor, Addiction (Substance Use Disorder) based in New London, CT. Annette Lickwola practices in New London, CT and has the professional credentials of LADC. The NPI Number for Annette Lickwola is 1093557050 and holds a License No. 44.001570 (CT). The current practice location address for Annette Lickwola is 931 Bank St, New London, CT 06320-2702 and can be reached out via phone at 860-574-8256.
Provider Profile Details
- NPI Number
- 1093557050
- Provider Name
- Annette Lickwola
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 931 Bank St, New London, CT 06320-2702
- Phone Number
- 860-574-8256
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 11, 2024
- Last Update Date
- October 31, 2024
- Certification Date
- October 31, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 931 Bank St
New London, CT 06320-2702 - City
- New London
- State
- Connecticut
- Zip
- 06320-2702
- Phone Number
- 860-574-8256
Provider Business Mailing Address Details
- Address
- 931 Bank St
New London, CT 06320-2702 - City
- New London
- State
- CT
- Zip
- 06320-2702
- Phone Number
- 860-574-8256
License Information
- License Number
- 44.001570
- License State
- CT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near New London, CT
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Frequently Asked Questions
What is the NPI number of Mrs. Annette Lickwola, LADC?
The NPI number of Mrs. Annette Lickwola, LADC is 1093557050. It was assigned on June 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Mrs. Annette Lickwola, LADC?
Mrs. Annette Lickwola, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 44.001570.
Where does Mrs. Annette Lickwola, LADC practice?
The practice location is 931 Bank St, New London, CT 06320-2702. The office can be reached at 860-574-8256 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093557050 directly on the NPPES registry website.