Individual provider · Type 1 NPI

Richard John Sullivan Jr.

Professional Counselor · Santa Cruz, CA

NPI number 1497488001 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Call (831) 469-1700 Map

Fax (831) 425-1905

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Community Health Worker 172V00000XNone listed
Professional Counselor Primary 101YP2500X14953 (CA)

Professional Counselor: Definition to come...

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About NPI 1497488001

Richard John Sullivan Jr.'s National Provider Identifier is 1497488001, issued on Jul 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Cruz, CA. The record was last updated on Nov 13, 2023.