Katherine Sullivan, LAC
NPI #1861213779 in Montclair, New Jersey
Provider Information
- NPI Number
- 1861213779
- Entity Type
- Individual
- Name
- Katherine Sullivan, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- LAC
- Enumeration Date
- Oct 23, 2024
- Last Updated
- Nov 15, 2024
Practice Location
- Address
- 28 VALLEY RD STE 150
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2709
- Phone
- (201) 317-4154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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