Individual provider · Type 1 NPI

Jayme Sullivan, LPC

Professional Counselor · Vicksburg, MS

NPI number 1376128306 Active

Practice location

1414 Cherry St
Vicksburg, MS 39180-3218

Call (601) 636-5703 Map

Fax (769) 230-3039

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X108 (MS)

Professional Counselor: Definition to come...

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About NPI 1376128306

Jayme Sullivan, LPC's National Provider Identifier is 1376128306, issued on Mar 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 11, 2021.