Individual
MR. JOSEPH DAVID SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1701 CENTERVIEW DR STE 102, LITTLE ROCK, AR 72211-4311
(501) 224-0318
Mailing address
1701 CENTERVIEW DR STE 102, LITTLE ROCK, AR 72211-4311
(501) 224-0318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0211045
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0211045
LPC LICENSE NUMBER
AR
Enumeration date
08/17/2006
Last updated
02/29/2024
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