Individual
MS. JOYCE ANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADAC
Contact information
Practice address
167 MAIN ST STE 401, BRATTLEBORO, VT 05301-3017
(802) 376-5076
Mailing address
44 NORTH ST, BRATTLEBORO, VT 05301-6000
(802) 376-5076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0680000316
VT
103T00000X
Psychologist
Primary
047-0000661
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1637
—
VT
Enumeration date
10/12/2006
Last updated
01/25/2024
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