Philip Sullivan, LLMSW

NPI #1619769544 in Jenison, Michigan

Provider Information

NPI Number: 1619769544
Entity Type: Individual
Name: Philip Sullivan, LLMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LLMSW
Enumeration Date: May 19, 2025
Last Updated: May 19, 2025

Practice Location

Address: 1342 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-8937
Phone: (231) 535-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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