Individual
DR. MARTHA L SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D MIN.,LPC
Contact information
Practice address
2200 CODY RD S, MOBILE, AL 36695-3071
(251) 633-2122
(251) 633-3412
Mailing address
8835 DAWES LAKE RD N, MOBILE, AL 36619-4345
(251) 633-2122
(251) 633-3412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1505
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51500773SUL
BCBS
AL
01
—
51522625
FED. BLUECARD
AL
Enumeration date
11/01/2006
Last updated
07/08/2007
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