Individual
MR. DANIEL ALLEN SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
06/14/2023
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