Individual
ALEXANDRA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 JAMES ONEILL ST, SOUTH BOSTON, MA 02127-4504
(617) 534-9500
Mailing address
1010 MASS AVE, BOSTON, MA 02118-2600
(617) 534-9500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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