Jessica Sullivan, LPC-IT

NPI #1013543834 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1013543834
Entity Type: Individual
Name: Jessica Sullivan, LPC-IT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC-IT
Enumeration Date: Mar 13, 2020
Last Updated: Mar 13, 2020

Practice Location

Address: 925 ELM GROVE RD STE 303
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2572
Phone: (414) 375-9314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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