Individual provider · Type 1 NPI

Aubrey Ross Obradovich Sullivan, M. ED

Professional Counselor · Louisville, KY

NPI number 1811307150 Active

Practice location

1169 Eastern Pkwy, Suite 3364
Louisville, KY 40217-1417

Fax (502) 473-1334

Mailing address

1169 Eastern Pkwy Ste 3364
Louisville, KY 40217-1415

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X127353 (KY)
Counselor 101Y00000XKY-1738 (KY)

Professional Counselor: Definition to come...

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About NPI 1811307150

Aubrey Ross Obradovich Sullivan, M. ED's National Provider Identifier is 1811307150, issued on May 7, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Feb 7, 2017.