Individual
COLLEEN REBEKAH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 S 8TH ST APT 3N, PHILADELPHIA, PA 19147-2848
(928) 899-2598
Mailing address
736 S 8TH ST APT 3N, PHILADELPHIA, PA 19147-2848
(928) 899-2598
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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