Individual
CIARA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(708) 226-2816
Mailing address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(708) 226-2816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009838
NY
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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