Ms Mary Jo Sullivan, LADC - Counselor in Norman, OK

Ms Mary Jo Sullivan, LADC is a Counselor - Addiction (substance Use Disorder) based in Norman, Oklahoma. Ms Mary Jo Sullivan is licensed to practice in Oklahoma (license number 174) and her current practice location is 125 Pine Tree Ln, Norman, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 321-8966.

NPI number for Ms Mary Jo Sullivan is 1407078983 and her current mailing address is 125 Pine Tree Ln, Norman, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407078983.

Contact Information

Ms Mary Jo Sullivan, LADC
125 Pine Tree Ln,
Norman, OK 73072-5012
(405) 321-8966
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Mary Jo Sullivan
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location125 Pine Tree Ln, Norman, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407078983
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 04/22/2020

Medical Identifiers

Medical identifiers for Ms Mary Jo Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407078983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 174 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Jo Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Jo Sullivan, LADC
125 Pine Tree Ln,
Norman, OK 73072-5012

Ph: (405) 321-8966
Ms Mary Jo Sullivan, LADC
125 Pine Tree Ln,
Norman, OK 73072-5012

Ph: (405) 321-8966

Reviews and Comments


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