person
Dakota Lee Sullivan, SUD
Addiction (Substance Use Disorder) Counselor in San Mateo, California
NPI 1225895238

Dakota Lee Sullivan is an Addiction (Substance Use Disorder) Counselor based in San Mateo, CA and is specialized in Addiction (Substance Use Disorder). Dakota Lee Sullivan practices in San Mateo, CA and has the professional credentials of SUD. The NPI Number for Dakota Lee Sullivan is 1225895238 and holds a License No. 16815 (California).

The current practice location address for Dakota Lee Sullivan is 2251 Palm Ave, San Mateo, CA and can be reached out via phone at 650-513-6500.

Location: 2251 Palm Ave, San Mateo, CA, 94403-1814
person
Provider Profile Details
NPI Number
1225895238
Provider Name
Dakota Lee Sullivan
Credential
SUD
Provider Entity Type
Individual
Gender
Male
Address
2251 Palm Ave, San Mateo, CA, 94403-1814
Phone Number
650-513-6500
Fax Number
Provider Enumeration Date
03/05/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2251 Palm Ave
City
State
Zip
94403-1814
Phone Number
650-513-6500
Fax Number
person
Provider Business Mailing Address Details
Address
2251 Palm Ave
City
State
Zip
94403-1814
Phone Number
650-513-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16815 (California)
Definition
Definition to come...
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