Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Nicole Sulllivan, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063181006

Shannon Nicole Sulllivan, CDCA is an Addiction (Substance Use Disorder) Counselor in Xenia, Ohio. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

515 Martin Dr
Xenia, OH 45385-1615
Phone: (937) 562-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1063181006
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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