Individual
MEDELYN YOLANDA SULLIVAN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1550 WALL ST, STE. 244, SAINT CHARLES, MO 63303-3545
(314) 650-3905
(314) 890-2034
Mailing address
PO BOX 190226, SAINT LOUIS, MO 63119-6226
(314) 650-3905
(314) 890-2034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005009307
MO
Other
Enumeration date
03/27/2010
Last updated
03/20/2025
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