Individual
DR. JAMES MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5 JUNCTION RD, BROOKFIELD, CT 06804-3414
(203) 775-6997
(203) 775-0389
Mailing address
5 JUNCTION RD, BROOKFIELD, CT 06804-3414
(203) 775-6997
(203) 775-0389
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000052
CT
Other
Enumeration date
07/26/2006
Last updated
01/12/2011
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