RICHARD SULLIVAN

BOSSIER CITY, LA
NPI1821567611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  4146)
Enumeration Date2018-11-21
Last Update Date2018-11-21
Business Address
RICHARD SULLIVAN
1525 FULLILOVE DR
BOSSIER CITY, LA 71112-3346
Phone number: 318-747-1111
Mailing Address
RICHARD SULLIVAN
2000 FAIRFIELD AVENUE
SHREVEPORT, LA 71104
Phone number: 318-222-8511
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