Individual
MS. KERRY RENEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, RPT
Contact information
Practice address
978 HOME PLZ, SUITE 300, WATERLOO, IA 50701-4809
(319) 529-9929
(319) 981-5029
Mailing address
2021 W 7TH ST, WATERLOO, IA 50702-3354
(319) 529-9929
(888) 981-5029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
874
IA
Other
Enumeration date
10/17/2006
Last updated
04/02/2014
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