Individual
PHILIP SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
1342 BALDWIN ST, JENISON, MI 49428-8937
(231) 535-2822
Mailing address
2329 CENTER ST, BOYNE FALLS, MI 49713-9268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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