Individual
MAUREEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
37 BURKE CREEK CIR, STATELINE, NV 89449
(732) 939-2497
Mailing address
PO BOX 1534, ZEPHYR COVE, NV 89448-1534
(732) 939-2497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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