Individual provider · Type 1 NPI

Sharlene Mary Sullivan, MA LDAC1

Addiction (Substance Use Disorder) Counselor · West Springfield, MA

NPI number 1063532372 Active

Practice location

103 Myron St Ste A
West Springfield, MA 01089

Fax (413) 439-0100

Other practice locations

  • 29 Day Mill Dr, Templeton, MA 01468-1472 · (978) 939-5603

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X789 (MA)

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

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About NPI 1063532372

Sharlene Mary Sullivan, MA LDAC1's National Provider Identifier is 1063532372, issued on Mar 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Springfield, MA. The record was last updated on Aug 17, 2018.