KEITH PATRICK SULLIVAN

SAN DIEGO, CA
NPI1073491353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  22064)
Enumeration Date2025-08-25
Last Update Date2025-08-25
Business Address
KEITH PATRICK SULLIVAN
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 619-523-8121
Mailing Address
KEITH PATRICK SULLIVAN
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 619-523-8121
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