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E'bonique A Sullivan
Counselor in San Bernardino, California
NPI 1053581553

E'bonique A Sullivan is a Counselor based in San Bernardino, CA. E'bonique A Sullivan practices in San Bernardino, CA. The NPI Number for E'bonique A Sullivan is 1053581553 and holds a License No. (California).

The current practice location address for E'bonique A Sullivan is 1963 N E St, San Bernardino, CA and can be reached out via phone at 909-881-6146 and via fax at 909-880-0111.

Location: 1963 N E St, San Bernardino, CA, 92405-3919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053581553
Provider Name
E'bonique A Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1963 N E St, San Bernardino, CA, 92405-3919
Phone Number
909-881-6146
Fax Number
909-880-0111
Provider Enumeration Date
03/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1963 N E St
City
San Bernardino
State
California
Zip
92405-3919
Phone Number
909-881-6146
Fax Number
909-880-0111
person
Provider Business Mailing Address Details
Address
1963 N E St
City
San Bernardino
State
California
Zip
92405-3919
Phone Number
909-881-6146
Fax Number
909-880-0111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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