Individual provider · Type 1 NPI

Mark Sullivan, PhD, MFT

Professional Counselor · Oakland, CA

NPI number 1518275437 Active

Practice location

5237 College Ave
Oakland, CA 94618-1414

Call (510) 541-0548 Map

Fax (510) 841-3395

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XMFC15675 (CA)

Professional Counselor: Definition to come...

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About NPI 1518275437

Mark Sullivan, PhD, MFT's National Provider Identifier is 1518275437, issued on Sep 14, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oakland, CA. The record was last updated on Sep 14, 2010.