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Individual

MISS AMY ELIZABETH SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2423 EARL RUDDER FWY S STE 300, COLLEGE STATION, TX 77845-6090
(979) 221-2257
Mailing address
2338 HARVEY MITCHELL PKWY S APT 7102, COLLEGE STATION, TX 77845-5143
(817) 705-5042

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
86498
TX

Other

Enumeration date
12/13/2023
Last updated
12/13/2023
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