Individual
JESSICA DANIELA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, NCC
Contact information
Practice address
3161 ROYAL CREEK WAY SW, LILBURN, GA 30047-1884
(678) 369-1731
Mailing address
3161 ROYAL CREEK WAY SW, LILBURN, GA 30047-1884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
03/25/2023
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