Individual
TERRY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 N WASHINGTON ST, LEXINGTON, NE 68850-1930
(308) 746-4781
(888) 519-4014
Mailing address
811 N WASHINGTON ST, LEXINGTON, NE 68850-1930
(308) 746-4781
(888) 519-4014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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