Individual
LYNSEY D. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADC, LMFT
Contact information
Practice address
5555 BOONE AVE N, NEW HOPE, MN 55428-3636
(612) 719-8374
Mailing address
5555 BOONE AVE N, NEW HOPE, MN 55428-3636
(612) 719-8374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302053
MN
106H00000X
Marriage & Family Therapist
Primary
4123
MN
Other
Enumeration date
11/07/2008
Last updated
02/29/2024
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