Individual
MR. DANIEL R. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.
Contact information
Practice address
655 W IRVING PARK RD, SUITE #204, CHICAGO, IL 60613-3123
(773) 528-1777
Mailing address
655 W IRVING PARK RD, SUITE #204, CHICAGO, IL 60613-3123
(773) 528-1777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.007752
IL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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