EDISON SULLIVAN

VAN BUREN, AR
NPI1346056413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  p2411018)
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
EDISON SULLIVAN LPC
3909 HIGHWAY 282
VAN BUREN, AR 72956-8718
Phone number: 479-242-1003
Mailing Address
EDISON SULLIVAN LPC
3909 HIGHWAY 282
VAN BUREN, AR 72956-8718
Phone number: 479-242-1003
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