Individual provider · Type 1 NPI
Aisha La Shon Sullivan
Mental Health Counselor · Campbell, CA
NPI number
1861772253
Active
Practice location
251 Llewellyn Ave
Campbell, CA 95008-1940
Mailing address
1902 Mclaughlin Ave
San Jose, CA 95122-2941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861772253
Aisha La Shon Sullivan's National Provider Identifier is 1861772253, issued on Aug 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Campbell, CA. The record was last updated on Dec 29, 2021.