Individual provider · Type 1 NPI

Rebecca Sullivan

Mental Health Counselor · New London, CT

NPI number 1588969232 Active

Practice location

7 Vauxhall St
New London, CT 06320-5711

Mailing address

255 Hempstead St
New London, CT 06320-6204

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1588969232

Rebecca Sullivan's National Provider Identifier is 1588969232, issued on Jan 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New London, CT. The record was last updated on Jan 11, 2011.