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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 127353 (KY) |
| Counselor | 101Y00000X | KY-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.