Robert Dennis Sullivan in Ketchikan - Counselor
Robert Dennis Sullivan - NPI 1679609911
Robert Dennis Sullivan is a Counselor in Ketchikan, Alaska. Robert Dennis Sullivan practices all healthcare services and medical treatments related to Counselor. The NPI Number for Robert Dennis Sullivan is 1679609911. The last update date is 2007-07-08.
Robert Dennis Sullivan's current location address is 3183 Jackson Heights St, Ketchikan, Alaska. You can contact this provider via phone number 9072255576 and fax number 2062994244. The mailing address for Robert Dennis Sullivan is 3183 Jackson Heights St, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Dennis Sullivan |
|---|---|
| Address | 3183 Jackson Heights St, Ketchikan, Alaska |
| Phone Number | 9072255576 |
| Fax Number | 2062994244 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679609911 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3183 Jackson Heights St |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999015782 |
| Phone Number | 9072255576 |
| Fax Number | 2062994244 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 605 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identification code assigned to Robert Dennis Sullivan by the Centers for Medicare & Medicaid Services?
The Robert Dennis Sullivan has been issued the NPI (National Provider Identifier) 1679609911. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Robert Dennis Sullivan is located?
The Robert Dennis Sullivan is situated at the following address: 3183 Jackson Heights St, Ketchikan, AK, 999015782.
What is Robert Dennis Sullivan's area of expertise and its corresponding taxonomy classification?
The Robert Dennis Sullivan's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1679609911 assigned to Robert Dennis Sullivan?
The Robert Dennis Sullivan was issued its 1679609911 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Robert Dennis Sullivan last refreshed?
The information related to the Robert Dennis Sullivan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.