Individual
MS. ANN MARY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
955 ELLIOTT ROAD, PARADISE, CA 95969
(530) 513-4492
Mailing address
5850 CRESTMOOR DRIVE, PARADISE, CA 95969
(530) 513-4492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LICENSE#25875
CA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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