Individual provider · Type 1 NPI

Sean Alyston Sullivan, CASE MANAGER

Addiction (Substance Use Disorder) Counselor · Anchorage, AK

NPI number 1194366070 Active

Practice location

2600 Cordova St
Anchorage, AK 99503-2745

Other practice locations

  • 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 · (907) 887-1045
  • 1645 Mountainman Loop, Anchorage, AK 99507-1975 · (907) 887-1045

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1194366070 (AK)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1194366070

Sean Alyston Sullivan, CASE MANAGER's National Provider Identifier is 1194366070, issued on Oct 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anchorage, AK. The record was last updated on Mar 31, 2022.