Individual provider · Type 1 NPI

Tiara Sullivan, LCAS

Addiction (Substance Use Disorder) Counselor · Greensboro, NC

NPI number 1801253570 Active

Practice location

2706 N Church St
Greensboro, NC 27405-3657

Fax (336) 574-8378

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-22410 (NC)

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

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About NPI 1801253570

Tiara Sullivan, LCAS's National Provider Identifier is 1801253570, issued on Jan 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greensboro, NC. The record was last updated on Jan 26, 2016.