Individual
ALICIA MONIQUE SULLIVAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
50 NANCE RD, MADISON, AL 35758-9507
(251) 648-1445
Mailing address
128 MADELYN DR, MERIDIANVILLE, AL 35759-1534
(251) 648-1445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH18234
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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