Scott Lamar Sullivan
Scott Lamar Sullivan is an Addiction (Substance Use Disorder) Counselor in Eureka, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
404 H StEureka, CA 95501-1022
Phone: (707) 599-9875
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R8764 (CA) |
|---|
Record details
| NPI number | 1770056608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 3, 2019 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
| Mailing address | 720 Wood St, Eureka, CA 95501-4413 |
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