Individual provider · Type 1 NPI

Carol Sullivan

Mental Health Counselor · Vicksburg, MS

NPI number 1396429932 Active

Practice location

1905 Mission 66
Vicksburg, MS 39180-3711

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396429932

Carol Sullivan's National Provider Identifier is 1396429932, issued on Jun 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jun 14, 2023.