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MRS. CONNIE JEAN ALSUP CRADAC
NPI 1174812275
Counselor - Addiction (Substance Use Disorder) in Poplar Bluff, MO

Active since March 30, 2011
301 WARRIOR LANE, POPLAR BLUFF, MO 63902(573) 686-1200(573) 686-1029 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Connie Jean Alsup Cradac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CONNIE JEAN ALSUP CRADAC (NPI 1174812275) is an individual addiction (substance use disorder) provider in Poplar Bluff, Missouri, licensed in Missouri (4835) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1174812275
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CONNIE JEAN ALSUPCredential: CRADAC
Location Address301 WARRIOR LANEPoplar Bluff, MO 63902
Mailing Address301 Warrior LanePoplar Bluff, MO 63902 · (573) 686-1200 · Fax (573) 686-1029
Phone(573) 686-1200
Fax(573) 686-1029
Sole ProprietorNo
Enumeration DateMarch 30, 2011
✔ NPI 1174812275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in MO · 4835✔ Licensed in MO · 920
301 WARRIOR LANE, Poplar Bluff, MO 63902
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Other Names 1

Former Name (1)Mrs. Connie Jean Brooks Rasac I

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Alsup's NPI number?

The NPI number for Connie Alsup is 1174812275. It was assigned to this individual provider in the NPPES registry on March 30, 2011. The provider is also known as Mrs. Connie Jean Brooks Rasac I.

Where is Connie Alsup located?

Connie Alsup practices at 301 Warrior Lane, Poplar Bluff, MO 63902. The listed phone number is (573) 686-1200.

What is Connie Alsup's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Connie Alsup was last updated on March 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.