Individual
SARA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
90 WASHINGTON ST, DOVER, NH 03820-3744
(617) 302-6278
(617) 302-6278
Mailing address
PO BOX 2063, DOVER, NH 03821-2063
(617) 302-6278
(617) 302-6278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99003227
—
NH
Enumeration date
10/28/2009
Last updated
12/02/2014
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