Individual
JOHN CHRISTOPHER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1461 BENNETT RD, LANSING, MI 48906-1800
(757) 553-4280
Mailing address
1461 BENNETT RD, LANSING, MI 48906-1800
(757) 553-4280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401016868
MI
101YP2500X
Professional Counselor
Primary
6401019176
MI
247200000X
Other Technician
—
—
Other
Enumeration date
09/22/2016
Last updated
04/20/2021
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