Individual
WILLIAM JOSEPH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
101 S FOREST RD, SONORA, CA 95370-4895
(209) 533-0963
Mailing address
15442 CAMINO DEL PARQUE RD S, SONORA, CA 95370-9655
(209) 533-1126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFT 39899
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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