Individual
HEATHER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
417 GREEN STREET PL, GAINESVILLE, GA 30501-3317
(678) 696-8107
(678) 696-8633
Mailing address
571 SUBLETT RD, CAMPBELLSVILLE, KY 42718-8254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013228
GA
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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