Anne M Sullivan LCPC

NPI 1083767230 - Counselor - 101YM0800X

NPI Details
NPI 1083767230
Gender Female
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
404 W MAIN ST
BOZEMAN MT, 59715-4579, US
Phone (406) 522-6107
Fax
Business Location
2405 TURKEY RED LN
BOZEMAN MT, 59715-9329, US
Phone (406) 522-6107
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Montana
License Number 1173-LCPC
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According to our database, Anne M Sullivan LCPC NPI is 1083767230, taxonomy code is 101YM0800X and license number is 1173-LCPC, license state is located at Montana. Anne M Sullivan LCPC physically located at 404 W Main St, Bozeman MT, 59715-4579. NPI Number Anne M Sullivan LCPC has the Individual type.

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1083767230 NPI number is provided on an as is basis without warranty of any kind. 1083767230 is maintained by the National Plan & Provider Enumeration System. The contents of Anne M Sullivan LCPC are for informational purposes only.