Individual provider · Type 1 NPI

Meredith Sullivan, MS, MA

Marriage & Family Therapist · Portage, WI

NPI number 1376944504 Active

Practice location

2901 Hunters Trl
Portage, WI 53901-3403

Fax (608) 742-4087

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X327-228 (WI)
Marriage & Family Therapist Primary 106H00000X1047 (WI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1376944504

Meredith Sullivan, MS, MA's National Provider Identifier is 1376944504, issued on Sep 8, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portage, WI. The record was last updated on Sep 26, 2016.