Dakota Lee Sullivan, SUD
Dakota Lee Sullivan, SUD is an Addiction (Substance Use Disorder) Counselor in San Mateo, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
2251 Palm AveSan Mateo, CA 94403-1814
Phone: (650) 513-6500
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16815 (CA) |
|---|
Record details
| NPI number | 1225895238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUD |
| Sole proprietor | No |
| NPI enumerated | March 5, 2024 |
| Last updated in NPPES | March 5, 2024 |
| Certification date | March 5, 2024 |
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