Individual
CHARLES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 SOUTHAMPTON RD, WESTFIELD, MA 01085-1370
(413) 485-1305
Mailing address
25 KENNEDY DR, HUNTINGTON, MA 01050-9766
(413) 552-8420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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