Individual
MRS. ANGELA ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
710 W MAIN ST, SUITE G, BLUE SPRINGS, MO 64015-3722
(816) 229-2760
Mailing address
P.O. BOX 301, BLUE SPRINGS, MO 64013-2209
(816) 229-2760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002020608
MO
Other
Enumeration date
01/02/2006
Last updated
01/08/2013
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