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Organization
JESSICA C. SULLIVAN LCSW, PLLC
Active
Organization
JESSICA C. SULLIVAN LCSW, PLLC
Active
Other names
Nourish Your Mind Counseling & Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA C SULLIVAN LCSW-R (OWNER)
(845) 547-0479
Entity
Organization
Contact information
Practice address
360 STATE ROUTE 17M STE 4, MONROE, NY 10950-3444
(845) 547-0479
Mailing address
360 STATE ROUTE 17M STE 4, MONROE, NY 10950-3444
(845) 547-0479
(845) 999-4610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
04/11/2023
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