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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