Individual provider · Type 1 NPI
Stacey Sullivan
Mental Health Counselor · Vaughn, MT
NPI number
1316755994
Active
Practice location
480 Central Ave
Vaughn, MT 59487-9716
Mailing address
5316 4th Ave S
Great Falls, MT 59405-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1316755994
Stacey Sullivan's National Provider Identifier is 1316755994, issued on Dec 27, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vaughn, MT. The record was last updated on Dec 27, 2024.