Individual provider · Type 1 NPI

Desmond James Sullivan, CASAC

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1578711644 Active

Practice location

1310 Rockaway Pkwy
Brooklyn, NY 11236-2339

Fax (718) 257-3580

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12582 (NY)

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

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About NPI 1578711644

Desmond James Sullivan, CASAC's National Provider Identifier is 1578711644, issued on Sep 3, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 3, 2008.