Individual
ASHLEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1113 MAIN AVE, LIBBY, MT 59923-1823
(423) 506-9752
Mailing address
1113 MAIN AVE, LIBBY, MT 59923-1823
(423) 506-9752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-50227
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-50227
MT
Other
Enumeration date
11/12/2021
Last updated
10/06/2024
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