Maureen Sullivan, BA

NPI #1386067437 in Stateline, Nevada

Provider Information

NPI Number: 1386067437
Entity Type: Individual
Name: Maureen Sullivan, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: BA
Enumeration Date: Jan 27, 2014
Last Updated: Jan 27, 2014

Practice Location

Address: 37 BURKE CREEK CIR
City: Stateline
State: Nevada
ZIP Code: 89449
Phone: (732) 939-2497

Specialties & Taxonomy Codes

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

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