person
Penny Sullivan, CDP
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1164643656

Penny Sullivan is an Addiction (Substance Use Disorder) Counselor based in Roy, WA and is specialized in Addiction (Substance Use Disorder). Penny Sullivan practices in Tacoma, WA and has the professional credentials of CDP. The NPI Number for Penny Sullivan is 1164643656 and holds a License No. CP00001128 (Washington).

The current practice location address for Penny Sullivan is 5915 Orchard St W Bldg B, Tacoma, WA and can be reached out via phone at 253-473-7474 and via fax at 253-474-9724.

Location: 5915 Orchard St W Bldg B, Tacoma, WA, 98580-0946
person
Provider Profile Details
NPI Number
1164643656
Provider Name
Penny Sullivan
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
5915 Orchard St W Bldg B, Tacoma, WA, 98580-0946
Phone Number
253-473-7474
Fax Number
253-474-9724
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5915 Orchard St W Bldg B
City
State
Zip
98467-3824
Phone Number
253-473-7474
Fax Number
253-474-9724
person
Provider Business Mailing Address Details
Address
5915 Orchard St W Bldg B
City
State
Zip
98467-3824
Phone Number
253-473-7474
Fax Number
253-474-9724
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00001128 (Washington)
Definition
Definition to come...
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