National Provider Identifier

Ashley Sullivan, RADT-1

Ashley Sullivan, RADT-1 is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Placerville, CA and a listed phone number of (530) 333-9460.

NPI 1417538992Placerville, CAAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated May 12, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1417538992
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 16, 2021
Last Updated
May 12, 2021

Practice Location

  • 2844 Coloma St
  • Placerville, CA 95667-4406

Phone: (530) 333-9460

Mailing Address

  • PO Box 871
  • Garden Valley, CA 95633-0871

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Ashley Sullivan is a Placerville, California behavioral health provider with a RADT-1 credential; the CMS public registry identifies her work in substance-use counseling.

Full Record
NPI
1417538992
Entity Type
Individual
Last Name
Sullivan
First Name
Ashley
Credential
RADT-1
Mailing Street Address
PO Box 871
Mailing City
Garden Valley
Mailing State
CA
Mailing ZIP Code
95633-0871
Mailing Country
US
Practice Street Address
2844 Coloma St
Practice City
Placerville
Practice State
CA
Practice ZIP Code
95667-4406
Practice Country
US
Practice Phone
(530) 333-9460
Enumeration Date
April 16, 2021
Last Updated
May 12, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 18, 2021
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)