Individual
YANAH TERRY SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2700 S ROAN ST, SUITE 205, JOHNSON CITY, TN 37601-7556
(423) 231-2518
Mailing address
2700 S ROAN ST, SUITE 205, JOHNSON CITY, TN 37601-7556
(423) 231-2518
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT0000000553
TN
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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