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Individual
RACHEL E SULLIVAN
Active
Individual
RACHEL E SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT, CNA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163W00000X
Registered Nurse
Primary
357237-3102
UT
Other
Enumeration date
04/05/2012
Last updated
08/04/2025
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