Individual provider · Type 1 NPI

Mariette Elizabeth Sullivan, B.S

Counselor · Worcester, MA

NPI number 1568614980 Active

Practice location

172 Lincoln St
Worcester, MA 01605-3750

Fax (508) 770-0875

Mailing address

170 Lowe St
Leominster, MA 01453-3900

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1568614980

Mariette Elizabeth Sullivan, B.S's National Provider Identifier is 1568614980, issued on Oct 16, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Worcester, MA. The record was last updated on Oct 16, 2008.