Individual
STEPHANIE GEMA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1627 K ST NW STE 400, WASHINGTON, DC 20006-1711
(202) 838-6938
Mailing address
751 THORNTON WAY APT 213, ALEXANDRIA, VA 22314-4423
(202) 415-9446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00906
DC
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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