SCOTT LAMAR SULLIVAN

EUREKA, CA
NPI1770056608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R8764)
Enumeration Date2019-01-03
Last Update Date2024-09-19
Business Address
SCOTT LAMAR SULLIVAN
404 H ST
EUREKA, CA 95501-1022
Phone number: 707-599-9875
Mailing Address
SCOTT LAMAR SULLIVAN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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