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Individual

MR. DYLAN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COUNSELOR TRNE

Contact information

Practice address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
(513) 737-1107
Mailing address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
(513) 737-1107

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C.2203820-TRNE
OH
101YM0800X
Mental Health Counselor
C2203820-TRNE
OH
175T00000X
Peer Specialist
0002025
OH

Other

Enumeration date
09/23/2020
Last updated
01/25/2022
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