Individual provider · Type 1 NPI
Kevin A. Sullivan, L.I.S.W.
Counselor · Sun Prairie, WI
Practice location
1500 W. Main St. Ste 300, Phoenix Counseling
Sun Prairie, WI 53590
Fax (608) 834-6499
Mailing address
1532 W. Main St., Ste. 100
Sun Prairie, WA 53590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 328 (WI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Sun Prairie
About NPI 1457508996
Kevin A. Sullivan, L.I.S.W.'s National Provider Identifier is 1457508996, issued on Aug 27, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sun Prairie, WI. The record was last updated on Aug 27, 2008.