Individual provider · Type 1 NPI

Kimberly Marie Sullivan

Mental Health Counselor · Chico, CA

NPI number 1417468893 Active

Practice location

560 Cohasset Rd Ste 180
Chico, CA 95926-2460

Mailing address

3217 Cohasset Rd
Chico, CA 95973-5404

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417468893

Kimberly Marie Sullivan's National Provider Identifier is 1417468893, issued on Oct 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chico, CA. The record was last updated on Oct 12, 2017.