Individual
LAURA ANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7935 E 57TH ST, TULSA, OK 74145-8622
(918) 809-5795
Mailing address
7935 E 57TH ST, TULSA, OK 74145-8622
(918) 809-5795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3982
LA
101YP2500X
Professional Counselor
Primary
LPC05846
OK
Other
Enumeration date
11/16/2009
Last updated
07/29/2022
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