Search › Wisconsin › 101Y00000X
Kevin Sullivan, L.I.S.W
NPI 1457508996 · on the registry since 2008
Practice
- Address
- 1500 W. Main St. Ste 300
Phoenix Counseling
Sun Prairie, WI 53590 - Phone
- (608) 825-6711
- Fax
- (608) 834-6499
- Organisation at this address
- Phoenix Counseling, Ltd
Freedom Love Acceptance Therapy & Educational Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin