Individual
DESTINEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19211 ANGLIN ST, DETROIT, MI 48234-1460
(313) 263-0077
Mailing address
5279 SPOKANE ST, DETROIT, MI 48204-3647
(313) 263-0077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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