Individual
MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
304 GRAND AVE, BILLINGS, MT 59101
(406) 245-4566
Mailing address
304 GRAND AVE, BILLINGS, MT 59101-5923
(406) 245-1776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
192
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501046
—
MT
01
—
7082-0
BLUE CROSS BLUE SHIELD
MT
Enumeration date
08/10/2007
Last updated
07/10/2018
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