Individual
MRS. LISA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
166 E CHESTNUT ST, ASHEVILLE, NC 28801-2337
(828) 215-8858
(828) 665-0763
Mailing address
858 SAND HILL RD, ASHEVILLE, NC 28806-1424
(828) 215-8858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102398
—
NC
Enumeration date
05/19/2006
Last updated
11/03/2010
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