Individual provider · Type 1 NPI
James M. Sullivan, LICSW #114273
Addiction (Substance Use Disorder) Counselor · Kingston, MA
NPI number
1831297670
Active
Practice location
28 Ocean Hill Dr
Kingston, MA 02334
Fax (617) 275-8772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 213178 (MA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 114273 (MA) |
| Mental Health Counselor | 101YM0800X | 114273 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1831297670
James M. Sullivan, LICSW #114273's National Provider Identifier is 1831297670, issued on Sep 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kingston, MA. The record was last updated on Oct 30, 2012.