Individual provider · Type 1 NPI

Tina Marie Sullivan

Mental Health Counselor · Council Bluffs, IA

NPI number 1447850342 Active

Practice location

500 Willow Ave Ste 305
Council Bluffs, IA 51503-0807

Call (712) 256-4420 Map

Fax (712) 256-4423

Mailing address

1720 N 16th St Ste K
Council Bluffs, IA 51501-0109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101697 (IA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1447850342

Tina Marie Sullivan's National Provider Identifier is 1447850342, issued on Oct 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Oct 5, 2022.