Individual provider · Type 1 NPI

Kelly Ann Sullivan, M.A., M.F.T.

Marriage & Family Therapist · San Diego, CA

NPI number 1235205022 Active

Practice location

9939 Hibert St, Ste. 108
San Diego, CA 92131-1029

Fax (858) 578-3800

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Marriage & Family Therapist Primary	106H00000X	49023 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1235205022

Kelly Ann Sullivan, M.A., M.F.T.'s National Provider Identifier is 1235205022, issued on Nov 26, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2011.