Individual provider · Type 1 NPI

Shannon Nicole Sulllivan, CDCA

Addiction (Substance Use Disorder) Counselor · Xenia, OH

NPI number 1063181006 Active

Practice location

515 Martin Dr
Xenia, OH 45385-1615

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063181006

Shannon Nicole Sulllivan, CDCA's National Provider Identifier is 1063181006, issued on Sep 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Xenia, OH. The record was last updated on Sep 13, 2021.