Individual
VERONICA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 COIT ST, NEW LONDON, CT 06320-5924
(860) 912-9759
Mailing address
15 LEWISTON CT, GROTON, CT 06340-4707
(860) 912-9759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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