Individual provider · Type 1 NPI

Priscilla Jane Sullivan, MHP

Counselor · Mattoon, IL

NPI number 1164589826 Active

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Fax (217) 238-5767

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164589826

Priscilla Jane Sullivan, MHP's National Provider Identifier is 1164589826, issued on Jan 2, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mattoon, IL. The record was last updated on Mar 19, 2009.