KELLY SULLIVAN

FORT COLLINS, CO
NPI1093141178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC.0006756)
Enumeration Date2013-09-19
Last Update Date2019-05-31
Business Address
KELLY SULLIVAN CAC III, QMAP, BA
242 CONIFER ST
FORT COLLINS, CO 80524-2043
Phone number: 970-494-4200
Mailing Address
KELLY SULLIVAN CAC III, QMAP, BA
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525-5540
Phone number: 970-494-4200
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