Individual
KIMBERLY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
1013 LONG PRAIRIE RD STE 103, FLOWER MOUND, TX 75022-4223
(972) 371-0058
Mailing address
3408 PREAKNESS DR, FLOWER MOUND, TX 75028-3972
(832) 928-3850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
95358
TX
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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