Individual
CHATALE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
524 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3700
(803) 474-5129
Mailing address
8 BRADLEY CT, NORTH AUGUSTA, SC 29841-9423
(706) 386-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW010897
GA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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