Individual
MATTHEW SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 WHITE DR, BATESVILLE, AR 72501-9384
(870) 919-3381
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2205009
AR
Other
Enumeration date
09/19/2012
Last updated
05/24/2022
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