Individual
GARY HODGES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
153 SCHOOL DR, DAHLONEGA, GA 30533-0313
(706) 973-3215
(706) 973-3216
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5607
(706) 374-7628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008887
GA
101YP2500X
Professional Counselor
LPC008887
GA
Other
Enumeration date
08/26/2016
Last updated
11/09/2023
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