Individual provider · Type 1 NPI

Tiffany Ann Sullivan, BA

Mental Health Counselor · Prestonsburg, KY

NPI number 1477666121 Active

Practice location

40 Greenhouse Ln, Rt 321 Auxier Rd
Prestonsburg, KY 41653

Fax (606) 886-9878

Mailing address

104 S Front Ave
Prestonsburg, KY 41653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477666121

Tiffany Ann Sullivan, BA's National Provider Identifier is 1477666121, issued on Aug 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prestonsburg, KY. The record was last updated on Jul 8, 2007.