Edison Sullivan, LPC

NPI #1346056413 in Van Buren, Arkansas

Provider Information

NPI Number
1346056413
Entity Type
Individual
Name
Edison Sullivan, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Dec 4, 2024
Last Updated
Dec 4, 2024

Practice Location

Address
3909 HIGHWAY 282
ZIP Code
72956-8718
Phone
(479) 242-1003

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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