Individual
BROOKLYNN ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6031
(608) 785-6122
Mailing address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6031
(608) 785-6122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130660
WI
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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