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Individual
THEODORE SULLIVAN
Active
Individual
THEODORE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LCPC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101056
TX
101YM0800X
Mental Health Counselor
180.018283
IL
101YM0800X
Mental Health Counselor
Primary
39005758A
IN
101YM0800X
Mental Health Counselor
Primary
88002140A
IN
Other
Enumeration date
03/07/2024
Last updated
08/04/2026
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