Individual
KENDALL C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(703) 621-7121
Mailing address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015671
VA
101YM0800X
Mental Health Counselor
—
VA
101YP2500X
Professional Counselor
Primary
0701015671
VA
Other
Enumeration date
01/08/2026
Last updated
01/26/2026
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