Individual provider · Type 1 NPI

Keith Sullivan

Counselor · Monroe, NC

NPI number 1366796237 Active

Practice location

1190 Roosevelt Blvd
Monroe, NC 28110-2818

Call (704) 296-6200 Map

Fax (704) 296-4668

Mailing address

284 Executive Park Dr, Suite 100
Concord, NC 28025-1831

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366796237

Keith Sullivan's National Provider Identifier is 1366796237, issued on Oct 31, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Monroe, NC. The record was last updated on Oct 31, 2012.