Individual provider · Type 1 NPI

John W. Sullivan, LPC

Mental Health Counselor · Raleigh, NC

NPI number 1063561447 Active

Practice location

3801 Lake Boone Trl
Raleigh, NC 27607-2934

Fax (919) 784-9184

Mailing address

6609 Mountain Brook Dr
Raleigh, NC 27615-7307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5497 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1063561447

John W. Sullivan, LPC's National Provider Identifier is 1063561447, issued on Jan 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.