Individual
ASHLEY P SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
(727) 494-7610
Mailing address
1918 SASSAFRAS DR, WESLEY CHAPEL, FL 33543-9505
(813) 313-7921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH21078
FL
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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