Individual
ALLISON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 228-7351
(401) 276-4111
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 228-7351
(401) 276-4111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC00928
RI
Other
Enumeration date
10/27/2016
Last updated
02/22/2018
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