Individual provider · Type 1 NPI

Dale Sullivan

Addiction (Substance Use Disorder) Counselor · Ironton, OH

NPI number 1194473413 Active

Practice location

305 Park Ave
Ironton, OH 45638-1525

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 1194473413

Dale Sullivan's National Provider Identifier is 1194473413, issued on Mar 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ironton, OH. The record was last updated on Mar 15, 2022.