Organization
MARK AND BARBARA SULLIVAN PSYCHOTHERAPY INC
Active
Organization
MARK AND BARBARA SULLIVAN PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA STEVENS SULLIVAN M.S.W. (VICE-PRESIDENT)
(510) 258-3068
Entity
Organization
Contact information
Practice address
2635 RUSSELL ST, BERKELEY, CA 94705-2131
(510) 540-0548
Mailing address
2635 RUSSELL ST, BERKELEY, CA 94705-2131
(510) 540-0548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW 3295
CA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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