Individual provider · Type 1 NPI

Dakota Lee Sullivan, SUD

Addiction (Substance Use Disorder) Counselor · San Mateo, CA

NPI number 1225895238 Active

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Call (650) 513-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16815 (CA)

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

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About NPI 1225895238

Dakota Lee Sullivan, SUD's National Provider Identifier is 1225895238, issued on Mar 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Mar 5, 2024.