person
Richard Sullivan
Addiction (Substance Use Disorder) Counselor in Bossier City, Louisiana
NPI 1821567611

Richard Sullivan is an Addiction (Substance Use Disorder) Counselor based in Shreveport, LA and is specialized in Addiction (Substance Use Disorder). Richard Sullivan practices in Bossier City, LA. The NPI Number for Richard Sullivan is 1821567611 and holds a License No. 4146 (Louisiana).

The current practice location address for Richard Sullivan is 1525 Fullilove Dr, Bossier City, LA and can be reached out via phone at 318-747-1111 and via fax at 318-317-3333.

Location: 1525 Fullilove Dr, Bossier City, LA, 71104
person
Provider Profile Details
NPI Number
1821567611
Provider Name
Richard Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1525 Fullilove Dr, Bossier City, LA, 71104
Phone Number
318-747-1111
Fax Number
318-317-3333
Provider Enumeration Date
11/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1525 Fullilove Dr
City
State
Zip
71112-3346
Phone Number
318-747-1111
Fax Number
318-317-3333
person
Provider Business Mailing Address Details
Address
1525 Fullilove Dr
City
State
Zip
71112-3346
Phone Number
318-747-1111
Fax Number
318-317-3333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4146 (Louisiana)
Definition
Definition to come...
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