Individual
MR. DAVID SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC, CADC
Contact information
Practice address
6728 VINING RD, GREENVILLE, MI 48838-9784
(616) 225-8220
(616) 225-8226
Mailing address
6728 VINING RD, GREENVILLE, MI 48838-9784
(616) 225-8220
(616) 225-8226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01083
MI
101YP2500X
Professional Counselor
Primary
6401013968
MI
Other
Enumeration date
11/09/2013
Last updated
11/09/2013
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