Individual
KAREN S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLMHP, LADC
Contact information
Practice address
2112 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4670
(083) 398-5328
(308) 398-5404
Mailing address
7117 FARNAM ST STE 17, OMAHA, NE 68132-3319
(531) 301-7817
(402) 885-7596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1242
NE
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/24/2014
Last updated
02/15/2024
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