Deborah Jean Sullivan in Grand Rapids - Addiction (substance Use Disorder)
Deborah Jean Sullivan - NPI 1902065964
Deborah Jean Sullivan is a Addiction (substance Use Disorder) in Grand Rapids, Minnesota. Deborah Jean Sullivan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Deborah Jean Sullivan is 1902065964. The last update date is 2008-06-05.
Deborah Jean Sullivan's current location address is 1215 Se 7th Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183131338. The mailing address for Deborah Jean Sullivan is 1215 Se 7th Ave, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Jean Sullivan |
|---|---|
| Address | 1215 Se 7th Ave, Grand Rapids, Minnesota |
| Phone Number | 2183131338 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1902065964 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 1215 Se 7th Ave |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557444201 |
| Phone Number | 2183131338 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 302323 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8199PNO | MN | BCBS | |
| 84-10374 | MN | UBH/MEDICA | |
| 188856100 | MN | IMCARE | |
| 1021875 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique identification code assigned to Deborah Jean Sullivan by the Centers for Medicare & Medicaid Services?
The Deborah Jean Sullivan has been issued the NPI (National Provider Identifier) 1902065964. 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 Deborah Jean Sullivan is located?
The Deborah Jean Sullivan is situated at the following address: 1215 Se 7Th Ave, Grand Rapids, MN, 557444201.
What is the Deborah Jean Sullivan's specialty and taxonomy code?
The Deborah Jean Sullivan's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the Deborah Jean Sullivan's 1902065964 issued?
The Deborah Jean Sullivan's 1902065964 was issued on 2008-06-05.
As of what date were the details related to Deborah Jean Sullivan most recently updated or revised?
The information pertaining to Deborah Jean Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-05.