Individual provider · Type 1 NPI
Philip Sullivan, LLMSW
Addiction (Substance Use Disorder) Counselor · Jenison, MI
NPI number
1619769544
Active
Practice location
1342 Baldwin St
Jenison, MI 49428-8937
Mailing address
2329 Center St
Boyne Falls, MI 49713-9268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
Other addiction (substance use disorder) counselor providers in Jenison
About NPI 1619769544
Philip Sullivan, LLMSW's National Provider Identifier is 1619769544, issued on May 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jenison, MI. The record was last updated on May 19, 2025.