Individual provider · Type 1 NPI

Jaclyn Sullivan, MA COUNSELING

Mental Health Counselor · Wilmington, NC

NPI number 1598594012 Active

Practice location

2202 Wrightsville Ave Ste 111
Wilmington, NC 28403-3052

Call (910) 408-2302 Map

Mailing address

3804 Park Ave Ste C
Wilmington, NC 28403-6737

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA20348

Mental Health Counselor: Definition to come...

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About NPI 1598594012

Jaclyn Sullivan, MA COUNSELING's National Provider Identifier is 1598594012, issued on Aug 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Sep 9, 2026.