Individual provider · Type 1 NPI

Ashley Sullivan, RADT-1

Addiction (Substance Use Disorder) Counselor · Placerville, CA

NPI number 1417538992 Active

Practice location

2844 Coloma St
Placerville, CA 95667-4406

Call (530) 333-9460 Map

Mailing address

PO Box 871
Garden Valley, CA 95633-0871

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 1417538992

Ashley Sullivan, RADT-1's National Provider Identifier is 1417538992, issued on Apr 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on May 12, 2021.