MRS. Jaclyn Joann Sullivan, MA, LMFT
NPI #1285985325 in Amityville, New York
Provider Information
- NPI Number
- 1285985325
- Entity Type
- Individual
- Name
- MRS. Jaclyn Joann Sullivan, MA, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA, LMFT
- Enumeration Date
- Sep 28, 2012
- Last Updated
- Jul 16, 2015
Practice Location
- Address
- 191 BROADWAY
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-2790
- Phone
- (516) 662-1158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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