| Kevin A Sullivan, LISW | |
|
1500 W. Main St. Ste 300, Phoenix Counseling, Sun Prairie, WI 53590 | |
| (608) 825-6711 | |
| (608) 834-6499 |
| Full Name | Kevin A Sullivan |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1500 W. Main St. Ste 300, Sun Prairie, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457508996 | NPI | - | NPPES |
| 39-728100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 328 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin A Sullivan, LISW 1532 W. Main St., Ste. 100, Sun Prairie, WA 53590 Ph: (608) 825-7226 | Kevin A Sullivan, LISW 1500 W. Main St. Ste 300, Phoenix Counseling, Sun Prairie, WI 53590 Ph: (608) 825-6711 |
Amanda Mckeaton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 Lois Dr, Sun Prairie, WI 53590 Phone: 608-755-5260 | |
Ashley Stankey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1268 W Main St, Sun Prairie, WI 53590 Phone: 608-834-1122 | |
Sarah Quamme, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2724 Buergin Rd, Sun Prairie, WI 53590 Phone: 608-712-3597 | |
Amanda Lo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1268 W Main St, Sun Prairie, WI 53590 Phone: 834-608-1122 | |
Sally R Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1268 W Main St # 2, Sun Prairie, WI 53590 Phone: 608-834-1132 Fax: 702-664-6958 | |
Tyree Gamble, LPC, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 Gas Light Dr, Sun Prairie, WI 53590 Phone: 608-921-4289 | |
Eva Balfanz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3793 |