Individual provider · Type 1 NPI
Lillian Merchant-Sullivan, PHD LCPC
Mental Health Counselor · East Peoria, IL
NPI number
1629033279
Active
Practice location
100 N Main, Suite L100
East Peoria, IL 61611
Fax (309) 694-7812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1629033279
Lillian Merchant-Sullivan, PHD LCPC's National Provider Identifier is 1629033279, issued on Apr 18, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Peoria, IL. The record was last updated on Jul 8, 2007.