Individual
MEGAN BOYLAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,LCADC
Contact information
Practice address
320 AMBOY AVE, SUITE B, METUCHEN, NJ 08840-2469
(732) 205-0092
Mailing address
26 MILLER DR, METUCHEN, NJ 08840-1003
(732) 261-9655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00129400
NJ
101YP2500X
Professional Counselor
Primary
37PC00166100
NJ
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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