Individual provider · Type 1 NPI

Deborah Jean Sullivan, LADC

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MN

NPI number 1902065964 Active

Practice location

1215 SE 7th Ave
Grand Rapids, MN 55744-4201

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302323 (MN)

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

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About NPI 1902065964

Deborah Jean Sullivan, LADC's National Provider Identifier is 1902065964, issued on Jun 5, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MN. The record was last updated on Jun 5, 2008.