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1558521005
LISA MARIA SULLIVAN
NEWPORT BEACH, CA
NPI
1558521005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA mfc 43533)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- LISA MARIA SULLIVAN MFT
1000 QUAIL ST
NEWPORT BEACH, CA 92660-2731
Phone number: 714-875-7190
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Mailing Address
-- LISA MARIA SULLIVAN MFT
6186 FERNWOOD DR
HUNTINGTON BEACH, CA 92648-5574
Phone number: 714-875-7190
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