Individual provider · Type 1 NPI

Jessica Elizabeth Sullivan

Addiction (Substance Use Disorder) Counselor · Waterville, ME

NPI number 1902632771 Active

Practice location

40 Airport Rd
Waterville, ME 04901-4524

Fax (207) 872-0639

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC8844 (ME)

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

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About NPI 1902632771

Jessica Elizabeth Sullivan's National Provider Identifier is 1902632771, issued on Sep 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterville, ME. The record was last updated on Sep 10, 2024.