Henry Earl Sullivan Jr., CADC1
Henry Earl Sullivan Jr., CADC1 is an Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
Practice location Address checks out
510 NW 4th StGrants Pass, OR 97526-2078
Phone: (541) 474-5189
Fax: (541) 474-5172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 12-03-48 (OR) |
|---|
Record details
| NPI number | 1174986632 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADC1 |
| Sole proprietor | No |
| NPI enumerated | April 1, 2016 |
| Last updated in NPPES | April 1, 2016 |
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Moriah L Schrijn, QMHA
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-
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-
Jennifer L Tyler
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-
Shawna A Valadez, CADC-R
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