BRIAN SULLIVAN

INDIO, CA
NPI1043990443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
BRIAN SULLIVAN
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
Mailing Address
BRIAN SULLIVAN
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
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