Individual provider · Type 1 NPI

Dianne Lynn Sullivan, CSAC

Addiction (Substance Use Disorder) Counselor · Hayward, WI

NPI number 1942632997 Active

Practice location

13380 W Trepania Rd
Hayward, WI 54843-2186

Fax (715) 634-6107

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1343-132 (WI)

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

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About NPI 1942632997

Dianne Lynn Sullivan, CSAC's National Provider Identifier is 1942632997, issued on Aug 1, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayward, WI. The record was last updated on Aug 1, 2013.