Individual
JOANNA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 JENNY LN, BERTHOUD, CO 80513-7013
(303) 834-0018
Mailing address
827 JENNY LN, BERTHOUD, CO 80513-7013
(303) 834-0018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0014022
CO
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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