DAKOTA LEE SULLIVAN

SAN MATEO, CA
NPI1225895238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  16815)
Enumeration Date2024-03-05
Last Update Date2024-03-05
Business Address
DAKOTA LEE SULLIVAN SUD
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
Mailing Address
DAKOTA LEE SULLIVAN SUD
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-613-9055
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