Susan Victoria Cullen, LCPC

NPI #1316139538 in Burbank, Illinois

Provider Information

NPI Number: 1316139538
Entity Type: Individual
Name: Susan Victoria Cullen, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Aug 12, 2007
Last Updated: Aug 12, 2007

Practice Location

Address: 5133 W 79TH ST
Address 2: 3E
City: Burbank
State: Illinois
ZIP Code: 60459-1557
Phone: (708) 425-3615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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