Individual provider · Type 1 NPI
Tracy Lynn Sullivan, LCPC
Mental Health Counselor · Kalispell, MT
NPI number
1114531738
Active
Practice location
723 5th Ave E Unit B14
Kalispell, MT 59901-5321
Fax (406) 300-0426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | BBH-LCPC-LIC-18990 (MT) |
Mental Health Counselor: Definition to come...
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About NPI 1114531738
Tracy Lynn Sullivan, LCPC's National Provider Identifier is 1114531738, issued on Sep 1, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kalispell, MT. The record was last updated on Aug 22, 2024.