Kelly Sullivan, CAC III, QMAP, BA
NPI #1093141178 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1093141178
- Entity Type
- Individual
- Name
- Kelly Sullivan, CAC III, QMAP, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CAC III, QMAP, BA
- Enumeration Date
- Sep 19, 2013
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 4856 INNOVATION DR
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-5539
- Phone
- (970) 494-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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