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DEBORAH JEAN SULLIVAN LADC
NPI 1902065964
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MN

Active since June 05, 2008
1215 SE 7TH AVE, GRAND RAPIDS, MN 55744(218) 313-1338 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deborah Jean Sullivan Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH JEAN SULLIVAN LADC (NPI 1902065964) is an individual addiction (substance use disorder) provider in Grand Rapids, Minnesota, licensed in Minnesota (302323) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1902065964
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEBORAH JEAN SULLIVANCredential: LADC
Location Address1215 SE 7TH AVEGrand Rapids, MN 55744-4201
Mailing Address1215 Se 7th AveGrand Rapids, MN 55744-4201
Phone(218) 313-1338
Sole ProprietorNo
Enumeration DateJune 5, 2008
✔ NPI 1902065964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302323
1215 SE 7TH AVE, Grand Rapids, MN 55744
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Other Identifiers 4

Other188856100MN · Imcare
Other8199PNOMN · Bcbs
Other84-10374MN · Ubh/medica
Other1021875MN · Preferred One

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVRIELLE JEWEL SCHNEIDER LADC
Psychologist (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
HAYLEE GARSOW LADC, LSW
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1328
COLLEEN MACKAY LADC
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1315
BRUCE HAAG LADC
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
NORTHLAND COUNSELING CENTER, INC.
Substance Abuse Rehabilitation Facility
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
KATHERINE MOSTOLLER
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 322-6126
MARK W. ANDERSON LADC
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-1105
LAURA ROY
Counselor (Addiction (Substance Use Disorder))
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 313-1312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Sullivan's NPI number?

The NPI number for Deborah Sullivan is 1902065964. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Deborah Sullivan located?

Deborah Sullivan practices at 1215 SE 7th Ave, Grand Rapids, MN 55744. The listed phone number is (218) 313-1338.

What is Deborah Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deborah Sullivan was last updated on June 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.