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Miranda L Sullivan
Counselor in Marion, Illinois
NPI 1235506981

Miranda L Sullivan is a Counselor based in West Frankfort, IL. Miranda L Sullivan practices in Marion, IL. The NPI Number for Miranda L Sullivan is 1235506981 and holds a License No. (Illinois).

The current practice location address for Miranda L Sullivan is 1307 W Main St, Marion, IL and can be reached out via phone at 855-608-3560 and via fax at 618-993-2969.

Location: 1307 W Main St, Marion, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235506981
Provider Name
Miranda L Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1307 W Main St, Marion, IL, 62896-2210
Phone Number
855-608-3560
Fax Number
618-993-2969
Provider Enumeration Date
08/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1307 W Main St
City
Marion
State
Illinois
Zip
62959-1139
Phone Number
855-608-3560
Fax Number
618-993-2969
person
Provider Business Mailing Address Details
Address
1307 W Main St
City
Marion
State
Illinois
Zip
62959-1139
Phone Number
855-608-3560
Fax Number
618-993-2969
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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