person
Henry Earl Sullivan JR., CADC1
Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon
NPI 1174986632

Henry Earl Sullivan JR. is an Addiction (Substance Use Disorder) Counselor based in Grants Pass, OR and is specialized in Addiction (Substance Use Disorder). Henry Earl Sullivan JR. practices in Grants Pass, OR and has the professional credentials of CADC1. The NPI Number for Henry Earl Sullivan JR. is 1174986632 and holds a License No. 12-03-48 (Oregon).

The current practice location address for Henry Earl Sullivan JR. is 510 Nw 4Th St, Grants Pass, OR and can be reached out via phone at 541-474-5189 and via fax at 541-474-5172.

Location: 510 Nw 4Th St, Grants Pass, OR, 97526-2078
person
Provider Profile Details
NPI Number
1174986632
Provider Name
Henry Earl Sullivan JR.
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
510 Nw 4Th St, Grants Pass, OR, 97526-2078
Phone Number
541-474-5189
Fax Number
541-474-5172
Provider Enumeration Date
04/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Nw 4Th St
City
State
Zip
97526-2078
Phone Number
541-474-5189
Fax Number
541-474-5172
person
Provider Business Mailing Address Details
Address
510 Nw 4Th St
City
State
Zip
97526-2078
Phone Number
541-474-5189
Fax Number
541-474-5172
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12-03-48 (Oregon)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.