person
Christa Lea Sullivan
Mental Health Clinic/Center (Including Community Mental Health Center) in Paducah, Kentucky
NPI 1205100633

Christa Lea Sullivan is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Paducah, KY and is specialized in Mental Health (Including Community Mental Health Center). Christa Lea Sullivan practices in Paducah, KY. The NPI Number for Christa Lea Sullivan is 1205100633 and holds a License No. (Kentucky).

The current practice location address for Christa Lea Sullivan is 425 Broadway St, Paducah, KY and can be reached out via phone at 270-442-7121.

Location: 425 Broadway St, Paducah, KY, 42001-0713
person
Provider Profile Details
NPI Number
1205100633
Provider Name
Christa Lea Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
425 Broadway St, Paducah, KY, 42001-0713
Phone Number
270-442-7121
Fax Number
Provider Enumeration Date
03/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 Broadway St
City
State
Zip
42001-0713
Phone Number
270-442-7121
Fax Number
person
Provider Business Mailing Address Details
Address
425 Broadway St
City
State
Zip
42001-0713
Phone Number
270-442-7121
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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