Jonathan Sullivan, PRSS
NPI #1003527706 in Saint Albans, West Virginia
Provider Information
- NPI Number
- 1003527706
- Entity Type
- Individual
- Name
- Jonathan Sullivan, PRSS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- PRSS
- Enumeration Date
- Dec 13, 2022
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 2333 MACCORKLE AVE STE 201
- City
- Saint Albans
- State
- West Virginia
- ZIP Code
- 25177-2074
- Phone
- (304) 766-0060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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