Individual provider · Type 1 NPI

Mandy Sullivan, LPC

Professional Counselor · Middletown, CT

NPI number 1982960431 Active

Practice location

635 Main St
Middletown, CT 06457-2718

Call (860) 347-6971 Map

Fax (860) 704-8034

Mailing address

575 Main St Fl 2, Attn: Credentialing Dpt
Middletown, CT 06457-2845

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002169 (CT)

Professional Counselor: Definition to come...

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About NPI 1982960431

Mandy Sullivan, LPC's National Provider Identifier is 1982960431, issued on Apr 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Middletown, CT. The record was last updated on Apr 10, 2012.