Individual
MS. ANN SULLIVAN FAUTHEREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
282 WYLY DR, LAKE PROVIDENCE, LA 71254-5356
(318) 559-2088
Mailing address
282 WYLY DR, LAKE PROVIDENCE, LA 71254-5356
(318) 559-2088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#2315
LA
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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