Anita Sullivan

NPI #1528426590 in Pineville, Louisiana

Provider Information

NPI Number: 1528426590
Entity Type: Individual
Name: Anita Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 5, 2016
Last Updated: Feb 5, 2016

Practice Location

Address: 818 MAIN ST STE A
City: Pineville
State: Louisiana
ZIP Code: 71360-6409
Phone: (318) 443-9035

Specialties & Taxonomy Codes

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

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