Individual provider · Type 1 NPI
Krystle Lynn Sullivan, LPC
Professional Counselor · Windham, CT
NPI number
1295269504
Active
Practice location
66 Anna Maria Ln
Windham, CT 06280-1350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 003137 (CT) |
Professional Counselor: Definition to come...
About NPI 1295269504
Krystle Lynn Sullivan, LPC's National Provider Identifier is 1295269504, issued on Apr 13, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Windham, CT. The record was last updated on Apr 13, 2017.