Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CONNIE JEAN ALSUP, CRADAC
ActiveAddiction (Substance Use Disorder) Counselor · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1174812275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2011 (15.070243334747 yrs)
- Last Updated
- Mar 30, 2011
- Licenses
-
4835 (MO)920 (MO)
Practice Information
- Address
-
301 WARRIOR LANEPOPLAR BLUFF, MO, 63902Browse MO providers · Browse ZIP 63902
- Phone
- 5736861200
- Fax
- 5736861029
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in POPLAR BLUFF, MO
| Name | Credential | NPI |
|---|---|---|
| MS. JACKIE SUE TRUETT | — | 1902987209 |
| ERICKA LEE TOMLINSON | RASACI | 1699961326 |
| KIMBERLY LOWE | — | 1386814515 |
| TONYA GARDNER | — | 1942754312 |
| CARMELLA FENSKE | CRADC | 1629512553 |
| JONATHON DAWE | — | 1275180267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.