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Individual

ADRIA SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
315 S SALEM ST STE 424, APEX, NC 27502-1863
(317) 504-1852
Mailing address
5329 MAPLECHASE LN, APEX, NC 27539-4163
(317) 504-1852

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530A
IN
Enumeration date
05/11/2009
Last updated
03/20/2025
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