Individual
JENEVIEVE L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
45 SOCKANOSSET CROSS RD STE 4, CRANSTON, RI 02920-5529
(401) 383-4885
Mailing address
PO BOX 263, EASTFORD, CT 06242-0263
(860) 377-2131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00792
RI
Other
Enumeration date
08/04/2015
Last updated
09/25/2025
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