GREGORY SULLIVAN

OROVILLE, CA
NPI1699331918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
GREGORY SULLIVAN
2167 MONTGOMERY ST
OROVILLE, CA 95965-4945
Phone number: 530-854-4119
Mailing Address
GREGORY SULLIVAN
PO BOX 2456
OROVILLE, CA 95965-2456
Phone number: