STACEY SULLIVAN

VAUGHN, MT
NPI1316755994
Former NameSTACEY HANSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-12-27
Last Update Date2024-12-27
Business Address
STACEY SULLIVAN
480 CENTRAL AVE
VAUGHN, MT 59487-9716
Phone number: 406-750-8214
Mailing Address
STACEY SULLIVAN
5316 4TH AVE S
GREAT FALLS, MT 59405-3912
Phone number: 406-750-8214