Kathleen Scarlett Sullivan MFT

NPI 1790938694 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1790938694
Gender Female
Enumeration Date 10/23/2008
Last Updated 08/17/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
920 CRANBROOK CT APT 59
DAVIS CA, 95616-1283, US
Phone (619) 326-9258
Fax
Business Location
PO BOX 72453
DAVIS CA, 95617-2453, US
Phone (619) 326-9258
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 49153
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According to our database, Kathleen Scarlett Sullivan MFT NPI is 1790938694, taxonomy code is 106H00000X and license number is 49153, license state is located at California. Kathleen Scarlett Sullivan MFT physically located at 920 Cranbrook Ct Apt 59, Davis CA, 95616-1283. NPI Number Kathleen Scarlett Sullivan MFT has the Individual type.

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1790938694 NPI number is provided on an as is basis without warranty of any kind. 1790938694 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Scarlett Sullivan MFT are for informational purposes only.