person
Michael Daniel Sullivan, LICSW,CDGC
Mental Health Counselor in Norfolk, Nebraska
NPI 1063548139

Michael Daniel Sullivan is a Mental Health Counselor based in Norfolk, NE and is specialized in Mental Health. Michael Daniel Sullivan practices in Norfolk, NE and has the professional credentials of LICSW,CDGC. The NPI Number for Michael Daniel Sullivan is 1063548139 and holds a License No. 1464 (Nebraska).

The current practice location address for Michael Daniel Sullivan is 208 N 5Th St, Norfolk, NE and can be reached out via phone at 402-750-7923.

Location: 208 N 5Th St, Norfolk, NE, 68701-4155
person
Provider Profile Details
NPI Number
1063548139
Provider Name
Michael Daniel Sullivan
Credential
LICSW,CDGC
Provider Entity Type
Individual
Gender
Male
Address
208 N 5Th St, Norfolk, NE, 68701-4155
Phone Number
402-750-7923
Fax Number
Provider Enumeration Date
02/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
077785 01 NE VALUE OPTIONS
299363000 01 NE MAGELLAN MIS
082537 01 NE BLUE CROSS
8721 01 NE MIDLANDS CHOICE
institution
Provider Business Practice Location Address Details
Address
208 N 5Th St
City
State
Zip
68701-4155
Phone Number
402-750-7923
Fax Number
person
Provider Business Mailing Address Details
Address
208 N 5Th St
City
State
Zip
68701-4155
Phone Number
402-750-7923
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1464 (Nebraska)
Definition
Definition to come...
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