Individual provider · Type 1 NPI

Matthew Tyler Sullivan

Counselor · Fremont, CA

NPI number 1881802809 Active

Practice location

40950 Chapel Way
Fremont, CA 94538-4236

Call (510) 226-6180 Map

Mailing address

439 Maureen Ave
Palo Alto, CA 94306-3621

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1881802809

Matthew Tyler Sullivan's National Provider Identifier is 1881802809, issued on May 21, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fremont, CA. The record was last updated on Jul 8, 2007.