MR. ROBERT DENNIS SULLIVAN LCSW NPI 1679609911

NPI Information

MR. Robert Dennis Sullivan, LCSW is a counselor in Ketchikan, AK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Robert Dennis Sullivan, LCSW NPI is 1679609911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 CARLANNA LAKE ROAD
KETCHIKAN, AK
ZIP 99901
Phone: (907) 225-5576
Fax: (206) 299-4244

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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