Individual provider · Type 1 NPI

Paul Sullivan

Mental Health Counselor · Boston, MA

NPI number 1124352968 Active

Practice location

112 Water St
Boston, MA 02109-4206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124352968

Paul Sullivan's National Provider Identifier is 1124352968, issued on Sep 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Oct 6, 2015.