MRS. CONNIE JEAN ALSUP CRADAC NPI 1174812275

NPI Information

NPI: 1174812275
Provider Name: MRS. CONNIE JEAN ALSUP, CRADAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
301 WARRIOR LANE
POPLAR BLUFF, MO
ZIP 63902
Phone: (573) 686-1200
Get Directions

MRS. Connie Jean Alsup, CRADAC is an addiction (substance use disorder) counselor in Poplar Bluff, MO. MRS. Connie Jean Alsup, CRADAC NPI is 1174812275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 WARRIOR LANE
POPLAR BLUFF, MO
ZIP 63902
Phone: (573) 686-1200
Fax: (573) 686-1029

The enumeration date for this NPI number is 3/30/2011 and was last updated on 3/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	920	MISSOURI	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	4835	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »