Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES M SULLIVAN, LICSW #114273
Active Sole ProprietorMR. JAMES M SULLIVAN, LICSW #114273 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KINGSTON, Massachusetts. NPI 1831297670 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · KINGSTON, MA
Registration Details
- NPI Number
- 1831297670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.891701074908 yrs)
- Last Updated
- Oct 30, 2012
- Licenses
-
213178 (MA)114273 (MA)114273 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 OCEAN HILL DRKINGSTON, MA, 02334Browse MA providers · Browse ZIP 02334
- Phone
- 6179106078
- Fax
- 6172758772
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.