Individual provider · Type 1 NPI

Robert Dennis Sullivan, LCSW

Counselor · Ketchikan, AK

NPI number 1679609911 Active

Practice location

102 Carlanna Lake Road
Ketchikan, AK 99901

Call (907) 225-5576 Map

Fax (206) 299-4244

Mailing address

3183 Jackson Heights St
Ketchikan, AK 99901-5782

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X605 (AK)

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.

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About NPI 1679609911

Robert Dennis Sullivan, LCSW's National Provider Identifier is 1679609911, issued on Feb 23, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ketchikan, AK. The record was last updated on Jul 8, 2007.