Individual
KAROLYN NICOLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
9666 OLIVE BLVD, SAINT LOUIS, MO 63132-3013
(314) 991-0100
Mailing address
928 VINE ST, SAINT CHARLES, MO 63301-1906
(314) 306-3275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018017333
MO
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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