Individual provider · Type 1 NPI
James Michael Sullivan, PhD
Professional Counselor · Brookfield, CT
NPI number
1851315758
Active
Practice location
5 Junction Rd
Brookfield, CT 06804-3414
Fax (203) 775-0389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000052 (CT) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1851315758
James Michael Sullivan, PhD's National Provider Identifier is 1851315758, issued on Jul 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookfield, CT. The record was last updated on Jan 12, 2011.