Individual provider · Type 1 NPI

Joan M. Sullivan, MA

Counselor · South Bend, IN

NPI number 1689704728 Active

Practice location

403 E Madison St
South Bend, IN 46617-2322

Fax (574) 283-1131

Mailing address

18025 Crownhill Dr, #8
South Bend, IN 46637-4348

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1689704728

Joan M. Sullivan, MA's National Provider Identifier is 1689704728, issued on Mar 7, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.