Individual
MISS MEGAN MICHELE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CSW-INTERN
Contact information
Practice address
1780 CARLIN ST, RENO, NV 89503-4021
(775) 291-3957
Mailing address
690 EDISON WAY, RENO, NV 89502-4135
(775) 858-4504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10356-M
NV
1041C0700X
Clinical Social Worker
Primary
12017-C
NV
1041C0700X
Clinical Social Worker
IC-2103
NV
Other
Enumeration date
01/20/2023
Last updated
01/14/2025
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