Individual provider · Type 1 NPI
Katherine Beres Sullivan, MED, CSACS
Addiction (Substance Use Disorder) Counselor · Vienna, VA
NPI number
1316716061
Active
Practice location
8150 Leesburg Pike
Vienna, VA 22182-7715
Mailing address
3019 N St NW
Washington, DC 20007-3405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0709025087 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316716061
Katherine Beres Sullivan, MED, CSACS's National Provider Identifier is 1316716061, issued on Dec 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vienna, VA. The record was last updated on Dec 21, 2023.