Search › Connecticut › 101YA0400X
Jeffrey Stickles, LADC
NPI 1609316561 · on the registry since 2017 · sole proprietor
Practice
- Address
- 240 Cavan Ln
Glastonbury, CT 06033 - Phone
- (203) 376-9265
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut