Individual
ERIC SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
5107 N RHETT AVE, CHARLESTON, SC 29405-4219
(410) 924-4786
Mailing address
5107 N RHETT AVE, CHARLESTON, SC 29405-4219
(410) 924-4786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6510
SC
106H00000X
Marriage & Family Therapist
93601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261511
—
CA
Enumeration date
10/23/2012
Last updated
01/31/2018
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