Individual provider · Type 1 NPI

Penelope Ruth Sullivan, LMHC

Mental Health Counselor · Athol, MA

NPI number 1265599260 Active

Practice location

491 Main St
Athol, MA 01331-1846

Fax (978) 249-9514

Mailing address

150 Chestnut Hill Rd
Orange, MA 01364-1078

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3916 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1265599260

Penelope Ruth Sullivan, LMHC's National Provider Identifier is 1265599260, issued on Jan 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Athol, MA. The record was last updated on Jul 8, 2007.