Individual provider · Type 1 NPI

Robin Sullivan

Mental Health Counselor · Diamond Springs, CA

NPI number 1063830495 Active

Practice location

4250 Fowler Ln
Diamond Springs, CA 95619-9781

Call (530) 295-1491 Map

Mailing address

PO Box 1987
Diamond Springs, CA 95619-1987

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063830495

Robin Sullivan's National Provider Identifier is 1063830495, issued on Apr 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Diamond Springs, CA. The record was last updated on Apr 2, 2014.