Individual
LORETHA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
2513 NW 115TH ST, 2513 N,W. 115TH STREET, OKLAHOMA CITY, OK 73120-6608
(405) 206-5459
Mailing address
2513 NW 115TH ST, 2513 N.W.115TH STREET, OKLAHOMA CITY, OK 73120-6608
(405) 206-5459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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