Individual
CAITLIN MILEI SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
Mailing address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
08/01/2017
Last updated
10/27/2017
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