Individual
DANIEL W. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
62 POSSUM HILL ROAD, BEAUFORT, SC 29902
(843) 846-2913
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-3378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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