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Individual

ASHTON LEIGH SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, ATR

Contact information

Practice address
19 MARINA VILLAGE LN., UNIT 27, BEAUFORT, SC 29906-2990
(843) 941-3482
Mailing address
PO BOX 788, PORT ROYAL, SC 29935-0788
(843) 732-0850

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6860
SC

Other

Enumeration date
07/19/2012
Last updated
09/21/2020
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