Kevin A. Sullivan, L.I.S.W.

NPI #1457508996 in Sun Prairie, Wisconsin

Provider Information

NPI Number: 1457508996
Entity Type: Individual
Name: Kevin A. Sullivan, L.I.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: L.I.S.W.
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 1500 W. MAIN ST. STE 300
Address 2: PHOENIX COUNSELING
City: Sun Prairie
State: Wisconsin
ZIP Code: 53590
Phone: (608) 825-6711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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