Individual provider · Type 1 NPI

Beth Louise Sullivan, MS

Professional Counselor · Wisconsin Rapids, WI

NPI number 1760558175 Active

Practice location

2611 12th St S
Wisconsin Rapids, WI 54494

Fax (715) 421-8858

Mailing address

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2697125 (WI)

Professional Counselor: Definition to come...

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About NPI 1760558175

Beth Louise Sullivan, MS's National Provider Identifier is 1760558175, issued on Nov 28, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on Oct 10, 2025.