Individual
DEBORAH ANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS REHAB COUNSELING
Contact information
Practice address
204 SOUTH STREET, ANNA, IL 62906-0548
(618) 833-8551
Mailing address
PO BOX 548, 204 SOUTH STREET UNION COUNTY COUNSELING SERVICES, INC., ANNA, IL 62906-0548
(618) 833-8551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-007278
IL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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