Individual provider · Type 1 NPI
Daniel Patrick Sullivan Jr.
Peer Specialist · San Diego, CA
NPI number
1780363655
Active
Practice location
4484 Pacific Coast Hwy.
San Diego, CA 92110
Mailing address
1836 Rowan St
San Diego, CA 92105-5634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1780363655
Daniel Patrick Sullivan Jr.'s National Provider Identifier is 1780363655, issued on Jul 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 17, 2023.