Individual provider · Type 1 NPI
Sally Sullivan, LPC
Professional Counselor · Oxford, MS
NPI number
1073907697
Active
Practice location
1202 Office Park Dr., Suite A
Oxford, MS 38655
Fax (662) 234-3535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1969 (MS) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1073907697
Sally Sullivan, LPC's National Provider Identifier is 1073907697, issued on Mar 20, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oxford, MS. The record was last updated on Mar 20, 2015.