Individual
MS. SUZANNE M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC CRC
Contact information
Practice address
8582 SOUTH HIGHCREST DRIVE, DARIEN, IL 60561-1678
(630) 880-7700
(630) 214-6004
Mailing address
8582 SOUTH HIGHCREST DRIVE, DARIEN, IL 60561-1678
(630) 880-7700
(630) 214-6004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002222971
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
08/28/2006
Last updated
07/08/2007
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