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Individual
LAUREN SULLIVAN
Active
Individual
LAUREN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MED, MS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC016591
PA
101YP2500X
Professional Counselor
Primary
PC016591
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC016591
PROFESSIONAL COUNSELOR
PA
Enumeration date
01/19/2021
Last updated
12/11/2024
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