Individual
JANAE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 EARLE BROWN DR STE 420, BROOKLYN CENTER, MN 55430-2562
(952) 666-5896
Mailing address
6040 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/30/2020
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