Individual provider · Type 1 NPI

E'bonique A. Sullivan

Counselor · San Bernardino, CA

NPI number 1053581553 Active

Practice location

1963 N E St
San Bernardino, CA 92405-3919

Call (909) 881-6146 Map

Fax (909) 880-0111

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053581553

E'bonique A. Sullivan's National Provider Identifier is 1053581553, issued on Mar 11, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Bernardino, CA. The record was last updated on Mar 11, 2008.