Individual
IRENE RUBINSON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
440 FRANKLIN ST, BLOOMFIELD, NJ 07003-4378
(973) 746-0800
Mailing address
476 TAPPAN RD, NORTHVALE, NJ 07647-1416
(201) 694-0684
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00020500
NJ
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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