Individual provider · Type 1 NPI

Katherine Sullivan, LAC

Counselor · Montclair, NJ

NPI number 1861213779 Active

Practice location

28 Valley Rd Ste 150
Montclair, NJ 07042-2709

Call (201) 317-4154 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00832300 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1861213779

Katherine Sullivan, LAC's National Provider Identifier is 1861213779, issued on Oct 23, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Montclair, NJ. The record was last updated on Nov 15, 2024.