MS. Christianna Lynn Sullivan, LCSW LCPC

NPI #1366151367 in Chatham, Illinois

Provider Information

NPI Number: 1366151367
Entity Type: Individual
Name: MS. Christianna Lynn Sullivan, LCSW LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW LCPC
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 351 WILLIAMS LN
City: Chatham
State: Illinois
ZIP Code: 62629-1044
Phone: (217) 553-6678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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