Individual
MICHAEL ANDREW SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMHC
Contact information
Practice address
974 73RD ST STE 9, WINDSOR HEIGHTS, IA 50324-1026
(515) 443-4980
Mailing address
974 73RD ST STE 9, WINDSOR HEIGHTS, IA 50324-1026
(515) 443-4980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001217
IA
Other
Enumeration date
11/18/2009
Last updated
06/24/2014
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