Individual
MR. PAUL MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5397 HOWARD RD, PETOSKEY, MI 49770-8815
(231) 225-9030
(231) 225-9026
Mailing address
5397 HOWARD RD, PETOSKEY, MI 49770-8815
(231) 225-9030
(231) 225-9026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009216
MI
Other
Enumeration date
07/28/2009
Last updated
08/03/2016
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