Melanie F. Sullivan, LMFT

NPI #1336221605 in Shelley, Idaho

Provider Information

NPI Number
1336221605
Entity Type
Individual
Name
Melanie F. Sullivan, LMFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
LMFT
Enumeration Date
Oct 19, 2006
Last Updated
Sep 30, 2010

Practice Location

Address
697 N 900 E
State
Idaho
ZIP Code
83274-5208
Phone
(208) 604-6019

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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