Individual
KATHERINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
28 VALLEY RD STE 150, MONTCLAIR, NJ 07042-2709
(201) 317-4154
Mailing address
28 VALLEY RD STE 150, MONTCLAIR, NJ 07042-2709
(201) 317-4154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00832300
NJ
Other
Enumeration date
10/23/2024
Last updated
11/15/2024
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