Individual
REBECCA L SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
66 N MAIN ST, BRANFORD, CT 06405-3032
(203) 645-5563
Mailing address
66 N MAIN ST, BRANFORD, CT 06405-3032
(203) 645-5563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2994
CT
Other
Enumeration date
03/14/2016
Last updated
07/14/2016
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