Individual provider · Type 1 NPI

Michaelle Sullivan

Counselor · Upper Montclair, NJ

NPI number 1487459160 Active

Practice location

622-624 Valley Rd
Upper Montclair, NJ 07043-1462

Mailing address

73 Elm St Apt 1
Montclair, NJ 07042-3265

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00855800 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1487459160

Michaelle Sullivan's National Provider Identifier is 1487459160, issued on Feb 17, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Upper Montclair, NJ. The record was last updated on Feb 17, 2025.