Individual
KENITA A. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2870 PHARR COURT SOUTH NW APT 2404, ATLANTA, GA 30305-2181
(818) 437-2782
Mailing address
2870 PHARR COURT SOUTH NW APT 2404, ATLANTA, GA 30305-2181
(818) 437-2782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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