Individual provider · Type 1 NPI

Jermaine Nicholas Sullivan, NCC

Mental Health Counselor · Atlanta, GA

NPI number 1902398027 Active

Practice location

365 Northridge Rd Ste 310
Atlanta, GA 30350-6101

Call (770) 771-6900 Map

Mailing address

2788 Defoors Ferry Rd NW Apt 333
Atlanta, GA 30318-2139

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902398027

Jermaine Nicholas Sullivan, NCC's National Provider Identifier is 1902398027, issued on Jun 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jun 4, 2018.