Individual
LEANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9502 PARKER PLACE DR, NAVARRE, FL 32566-2873
(757) 617-3208
Mailing address
9502 PARKER PLACE DR, NAVARRE, FL 32566-2873
(757) 617-3208
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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