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Kevin A. Sullivan, LISW
Counselor in Sun Prairie, Wisconsin
NPI 1457508996

Kevin A. Sullivan is a Counselor based in Sun Prairie, WI. Kevin A. Sullivan practices in Sun Prairie, WI and has the professional credentials of LISW. The NPI Number for Kevin A. Sullivan is 1457508996 and holds a License No. 328 (Wisconsin).

The current practice location address for Kevin A. Sullivan is 1500 W. Main St. Ste 300, Sun Prairie, WI and can be reached out via phone at 608-825-6711 and via fax at 608-834-6499.

Location: 1500 W. Main St. Ste 300, Sun Prairie, WI, 53590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457508996
Provider Name
Kevin A. Sullivan
Credential
LISW
Provider Entity Type
Individual
Gender
Male
Address
1500 W. Main St. Ste 300, Sun Prairie, WI, 53590
Phone Number
608-825-6711
Fax Number
608-834-6499
Provider Enumeration Date
08/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39-728100 05 WI
institution
Provider Business Practice Location Address Details
Address
1500 W. Main St. Ste 300
City
Sun Prairie
State
Wisconsin
Zip
53590
Phone Number
608-825-6711
Fax Number
608-834-6499
person
Provider Business Mailing Address Details
Address
1500 W. Main St. Ste 300
City
Sun Prairie
State
Wisconsin
Zip
53590
Phone Number
608-825-6711
Fax Number
608-834-6499
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
328 (Wisconsin)
Definition
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.
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