Individual
MS. TINA J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
609 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-4633
(662) 251-3245
Mailing address
609 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-4633
(662) 251-3245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
3015
MS
Other
Enumeration date
04/26/2022
Last updated
07/12/2024
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