person
Mr. Robert Dennis Sullivan, LCSW
Counselor in Ketchikan, Alaska
NPI 1679609911

Robert Dennis Sullivan is a Counselor based in Ketchikan, AK. Robert Dennis Sullivan practices in Ketchikan, AK and has the professional credentials of LCSW. The NPI Number for Robert Dennis Sullivan is 1679609911 and holds a License No. 605 (Alaska).

The current practice location address for Robert Dennis Sullivan is 102 Carlanna Lake Road, Ketchikan, AK and can be reached out via phone at 907-225-5576 and via fax at 206-299-4244. You can also correspond with Robert Dennis Sullivan through the mailing address at 3183 JACKSON HEIGHTS ST, KETCHIKAN, AK - 99901-5782 (mailing address contact number: 907-225-5576).

Location: 102 Carlanna Lake Road, Ketchikan, AK, 99901-5782
person
Provider Profile Details
NPI Number
1679609911
Provider Name
Robert Dennis Sullivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
102 Carlanna Lake Road, Ketchikan, AK, 99901-5782
Phone Number
907-225-5576
Fax Number
206-299-4244
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
102 Carlanna Lake Road
City
State
Zip
99901
Phone Number
907-225-5576
Fax Number
206-299-4244
person
Provider Business Mailing Address Details
Address
102 Carlanna Lake Road
City
State
Zip
99901
Phone Number
907-225-5576
Fax Number
206-299-4244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
605 (Alaska)
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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