Individual provider · Type 1 NPI
Kelly J. Sullivan, CASAC-A
Addiction (Substance Use Disorder) Counselor · Binghamton, NY
NPI number
1447133012
Active
Practice location
249 Glenwood Rd
Binghamton, NY 13905-1603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 38339 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1447133012
Kelly J. Sullivan, CASAC-A's National Provider Identifier is 1447133012, issued on Jul 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Binghamton, NY. The record was last updated on Jul 30, 2025.