Individual
DANIEL JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
388 GARDEN AVE STE 110, HOLLAND, MI 49424-8999
(616) 222-0631
(616) 222-0631
Mailing address
388 GARDEN AVE STE 110, HOLLAND, MI 49424-8999
(815) 685-8562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6851104339
MI
101Y00000X
Counselor
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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