Individual
ELIZABETH A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
17 STACKPOLE DR, MACHIAS, ME 04654-7000
(207) 573-2402
Mailing address
45 INDIAN HILL RD, MARSHFIELD, ME 04654-5126
(207) 263-4530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6498
ME
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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