Individual provider · Type 1 NPI

Miriam Lizette Sullivan, MA, LCPC

Professional Counselor · Chicago, IL

NPI number 1740568385 Active

Practice location

10725 S Western Ave, 2nd Floor
Chicago, IL 60643-3135

Call (708) 691-2497 Map

Mailing address

6848 W 114th Pl
Worth, IL 60482-2015

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.007775 (IL)

Professional Counselor: Definition to come...

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About NPI 1740568385

Miriam Lizette Sullivan, MA, LCPC's National Provider Identifier is 1740568385, issued on Aug 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 3, 2017.