Individual
REBECCA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(214) 919-4700
Mailing address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 919-4700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017044761
MO
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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