Individual
DELICIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 BOULDER HWY # 2583, LAS VEGAS, NV 89122-7202
(702) 689-5871
Mailing address
5600 BOULDER HWY # 2583, LAS VEGAS, NV 89122-7202
(702) 689-5871
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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