Individual
ROBIN LEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, PLMHP
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7000
Mailing address
13110 GRAND AVE, OMAHA, NE 68164-1732
(402) 686-6947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11634
NE
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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