Individual
LATASHA C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1700170-SUPV
OH
101YM0800X
Mental Health Counselor
E1700170
OH
Other
Enumeration date
06/08/2017
Last updated
02/04/2026
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