Individual
MR. JOHN STEVENS SULLIVAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
5850 FAYETTEVILLE RD STE 210, DURHAM, NC 27713-6289
(919) 294-8981
Mailing address
1091 THORNROSE WAY, WAKE FOREST, NC 27587-6947
(919) 426-6841
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12391A
NC
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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