Individual
AUBREE L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 N 1680 E STE I1, ST GEORGE, UT 84790-2586
(435) 291-7258
Mailing address
230 N 1680 E STE I1, ST GEORGE, UT 84790-2586
(435) 862-4767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLAYA
SBHC STAFF CODE
UT
Enumeration date
08/05/2007
Last updated
11/20/2021
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