Individual
HEATHER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N CHURCH ST, MONROE, NC 28112-4804
(704) 296-9898
Mailing address
400 N CHURCH ST, MONROE, NC 28112-4804
(980) 552-1023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12110
NC
Other
Enumeration date
01/06/2022
Last updated
09/11/2024
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