KELLY SULLIVAN, CAC III, QMAP, BA
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1093141178
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | ACC.0006756 (CO) |
Frequently Asked Questions
NPI 1093141178 is the National Provider Identifier for KELLY SULLIVAN, CAC III, QMAP, BA, a Counselor - Addiction (Substance Use Disorder) provider located in Fort Collins, CO. This NPI was enumerated on September 19, 2013.
KELLY SULLIVAN, CAC III, QMAP, BA practices at 4856 INNOVATION DR, Fort Collins, CO 80525.
Quick Facts
- NPI
- 1093141178
- Type
- Individual
- Enumerated
- Sep 19, 2013
- Last Updated
- Mar 10, 2025
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