Individual provider · Type 1 NPI

Amy Jean Sullivan

Mental Health Counselor · Kingston, NY

NPI number 1427344167 Active

Practice location

139 Cornell St
Kingston, NY 12401-3633

Fax (845) 338-6284

Mailing address

17 Bosco Dr
Jacksonville, NC 28540-3727

Other practice locations

  • 17 Bosco Dr, Jacksonville, NC 28540-3727 · (845) 532-1936

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X082906-1 (NY)
Clinical Social Worker 1041C0700XC009781 (NC)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1427344167

Amy Jean Sullivan's National Provider Identifier is 1427344167, issued on Jun 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kingston, NY. The record was last updated on Sep 23, 2020.