Individual provider · Type 1 NPI

Eileen Marie Sullivan, MFT; PHD

Mental Health Counselor · Corte Madera, CA

NPI number 1689130809 Active

Practice location

100 Tamal Plz Ste 170
Corte Madera, CA 94925-1163

Call (415) 625-9889 Map

Other practice locations

  • 1132 Lincoln Way, Auburn, CA 95603-5155 · (415) 625-9889

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFT26071 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1689130809

Eileen Marie Sullivan, MFT; PHD's National Provider Identifier is 1689130809, issued on Feb 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corte Madera, CA. The record was last updated on Feb 12, 2019.