JAMES EDWARD SULLIVAN

PASCOAG, RI
NPI1730343666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-07-10
Last Update Date2008-07-10
Business Address
Mr. JAMES EDWARD SULLIVAN MA. Psy
2076 WALLUM LAKE RD
PASCOAG, RI 02859
Phone number: 401-568-1770
Mailing Address
Mr. JAMES EDWARD SULLIVAN MA. Psy
195 ADMIRAL KALBFUS RD APT 12E
NEWPORT, RI 02840-1372
Phone number: 718-909-6197
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