Individual provider · Type 1 NPI

Ellen Marie Sullivan

Counselor · Santa Rosa, CA

NPI number 1962728758 Active

Practice location

3440 Airway Dr, Suite E
Santa Rosa, CA 95403-2065

Call (707) 544-3299 Map

Fax (707) 544-6837

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 1962728758

Ellen Marie Sullivan's National Provider Identifier is 1962728758, issued on Apr 19, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 19, 2010.