Individual provider · Type 1 NPI

Jacqueline Sullivan

Mental Health Counselor · Hyde Park, MA

NPI number 1053147587 Active

Practice location

1 Westinghouse Plz
Hyde Park, MA 02136-2075

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053147587

Jacqueline Sullivan's National Provider Identifier is 1053147587, issued on Sep 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hyde Park, MA. The record was last updated on Sep 11, 2024.