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Individual

CHRISTY SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LCAS

Contact information

Practice address
410 N. GREENSBORO ST. S, SUITE 220, CARRBORO, NC 27510-1870
(919) 966-9803
(919) 966-9169
Mailing address
410 N. GREENSBORO ST. S, SUITE 220, CARRBORO, NC 27510-1870
(919) 966-9803
(919) 966-9169

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
413
NC
101YM0800X
Mental Health Counselor
4383
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102909
NC
Enumeration date
02/26/2007
Last updated
07/11/2018
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