Individual
MS. JESSICA JANE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
413 HIGH ST, SEAFORD, DE 19973-3923
(443) 720-5552
Mailing address
1310 BRIDGEVILLE HWY, SEAFORD, DE 19973-1617
(302) 349-6051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011180
DE
Other
Enumeration date
03/28/2022
Last updated
04/15/2022
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