NPI | 1528573789 |
---|---|
Doing Business As | REBECCA SULLIVAN, LPC |
Entity Type | Organization |
Authorized Contact | REBECCA SULLIVAN Counselor 203-645-5563 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2994) |
Enumeration Date | 2017-12-11 |
Last Update Date | 2017-12-11 |