Organization
BRENNA OSULLIVAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENNA O'SULLIVAN LCPC (OWNER)
(207) 820-2544
Entity
Organization
Contact information
Practice address
125 FOREST AVE, SUITE 10956, PORTLAND, ME 04104-4919
(207) 820-2544
Mailing address
125 FOREST AVE, SUITE 10956, PORTLAND, ME 04104-4919
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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