Individual provider · Type 1 NPI

Carol Sullivan

Mental Health Counselor · Santa Cruz, CA

NPI number 1689890717 Active

Practice location

300 Harvey West Blvd
Santa Cruz, CA 95060-2103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1689890717

Carol Sullivan's National Provider Identifier is 1689890717, issued on Apr 17, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on Sep 10, 2007.