Individual provider · Type 1 NPI
Mary Irene Sullivan, LPCC LPC
Professional Counselor · Bellflower, MO
NPI number
1295978153
Active
Practice location
11 Mabry Rd
Bellflower, MO 63333-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 00181 (MN) |
| Professional Counselor Primary | 101YP2500X | 2021009968 (MO) |
Professional Counselor: Definition to come...
About NPI 1295978153
Mary Irene Sullivan, LPCC LPC's National Provider Identifier is 1295978153, issued on Apr 8, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bellflower, MO. The record was last updated on Jun 19, 2023.