Individual provider · Type 1 NPI

Crystal Noel Sullivan, LAC

Addiction (Substance Use Disorder) Counselor · Minot, ND

NPI number 1972815447 Active

Practice location

1015 S Broadway, Suite 18
Minot, ND 58701-4667

Call (701) 857-8500 Map

Fax (701) 857-8555

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1295 (MT)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1765 (ND)

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

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About NPI 1972815447

Crystal Noel Sullivan, LAC's National Provider Identifier is 1972815447, issued on Jul 13, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minot, ND. The record was last updated on Jun 12, 2015.