MR. Michael Cervantes Sullivan

NPI #1114243540 in San Carlos, California

Provider Information

NPI Number
1114243540
Entity Type
Individual
Name
MR. Michael Cervantes Sullivan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Apr 9, 2010
Last Updated
Sep 9, 2014

Practice Location

Address
610 ELM ST
Address 2
SUITE 212
ZIP Code
94070-8401
Phone
(650) 591-9623

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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