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Individual

MICHAEL GRUER SULLIVAN

Active
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Individual

MICHAEL GRUER SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, MCAP

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH15284
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH15284
FL
101YM0800X
Mental Health Counselor
Primary
MH15284
FL
101YP2500X
Professional Counselor
MH15284
FL

Other

Enumeration date
08/11/2011
Last updated
04/27/2020
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