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Organization
MICHAEL C. SULLIVAN & ASSOCIATES
Active
Organization
MICHAEL C. SULLIVAN & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES SULLIVAN LCPC,CADC (COUNSELOR)
(630) 705-0067
Entity
Organization
Contact information
Practice address
2200 S MAIN ST, SUITE 309, LOMBARD, IL 60148-5334
(630) 705-0067
(630) 705-0473
Mailing address
2200 S MAIN ST, SUITE 309, LOMBARD, IL 60148-5334
(630) 705-0067
(630) 705-0473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-00004412
IL
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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