Individual
CHRISTINA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1178 BROADWAY AVE, SEASIDE, CA 93955-4934
(831) 394-4622
Mailing address
1178 BROADWAY AVE, SEASIDE, CA 93955-4934
(831) 394-4622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
07/12/2022
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