IndividualActive
Annette Lickwola, LADC
NPI 1093557050 · Addiction (Substance Use Disorder) Counselor · New London, CT
Provider details
- NPI number
- 1093557050
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC
- Sex
- Female
- Sole proprietor
- No
- License
- 44.001570 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
931 Bank St
New London, CT 06320-2702
Phone: (860) 574-8256
Approximate (ZIP-level) locationGet directions
Mailing address
931 Bank St
New London, CT 06320-2702
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.