Individual provider · Type 1 NPI

Michele Sullivan Iv

Mental Health Counselor · Sanford, FL

NPI number 1376759696 Active

Practice location

919 E 2nd St
Sanford, FL 32771-2101

Mailing address

6924 Oswego Dr
Mount Dora, FL 32757-7201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376759696

Michele Sullivan Iv's National Provider Identifier is 1376759696, issued on May 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sanford, FL. The record was last updated on Jul 8, 2007.