person
Ms. Mary Irene Sullivan, LPCCLPC
Professional Counselor in Bellflower, Missouri
NPI 1295978153

Mary Irene Sullivan is a Professional Counselor based in Bellflower, MO and is specialized in Professional. Mary Irene Sullivan practices in Bellflower, MO and has the professional credentials of LPCCLPC. The NPI Number for Mary Irene Sullivan is 1295978153 and holds a License No. 00181 (Missouri).

The current practice location address for Mary Irene Sullivan is 11 Mabry Rd, Bellflower, MO and can be reached out via phone at 715-426-9877.

Location: 11 Mabry Rd, Bellflower, MO, 63333-2303
person
Provider Profile Details
NPI Number
1295978153
Provider Name
Mary Irene Sullivan
Credential
LPCCLPC
Provider Entity Type
Individual
Gender
Female
Address
11 Mabry Rd, Bellflower, MO, 63333-2303
Phone Number
715-426-9877
Fax Number
Provider Enumeration Date
04/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2021009968 01 MO LICENSED PROFESSIONAL COUNSELOR
CC00181 01 MN STATE OF MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY
institution
Provider Business Practice Location Address Details
Address
11 Mabry Rd
City
State
Zip
63333-2303
Phone Number
715-426-9877
Fax Number
person
Provider Business Mailing Address Details
Address
11 Mabry Rd
City
State
Zip
63333-2303
Phone Number
715-426-9877
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
00181 (Minnesota)
Definition
Definition to come...
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