Individual provider · Type 1 NPI
Shannon Oliver Sullivan, LPC, CPCS
Professional Counselor · Atlanta, GA
NPI number
1639728207
Active
Practice location
1 Baltimore Pl NW, Suite 360
Atlanta, GA 30308
Mailing address
295 Arizona Ave NE
Atlanta, GA 30307-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 005067 (GA) |
Professional Counselor: Definition to come...
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About NPI 1639728207
Shannon Oliver Sullivan, LPC, CPCS's National Provider Identifier is 1639728207, issued on Sep 6, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on May 29, 2020.