Sally Sullivan, LPC
NPI #1073907697 in Oxford, Mississippi
Provider Information
- NPI Number
- 1073907697
- Entity Type
- Individual
- Name
- Sally Sullivan, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Mar 20, 2015
- Last Updated
- Mar 20, 2015
Practice Location
- Address
- 1202 OFFICE PARK DR.
- Address 2
- SUITE A
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655
- Phone
- (662) 801-6940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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