Individual
DELENA J SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC CANDIDATE
Contact information
Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 665-4385
(405) 665-6396
Mailing address
24136 N COUNTY ROAD 3247, PAULS VALLEY, OK 73075-9093
(405) 926-7057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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