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Ms. Meredith Sullivan, MS,MA
Marriage & Family Therapist in Portage, Wisconsin
NPI 1376944504

Meredith Sullivan is a Marriage & Family Therapist based in Portage, WI. Meredith Sullivan practices in Portage, WI and has the professional credentials of MS,MA. The NPI Number for Meredith Sullivan is 1376944504 and holds a License No. 327-228 (Wisconsin).

The current practice location address for Meredith Sullivan is 2901 Hunters Trl, Portage, WI and can be reached out via phone at 608-742-5518 and via fax at 608-742-4087.

Location: 2901 Hunters Trl, Portage, WI, 53901-3403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376944504
Provider Name
Meredith Sullivan
Credential
MS,MA
Provider Entity Type
Individual
Gender
Female
Address
2901 Hunters Trl, Portage, WI, 53901-3403
Phone Number
608-742-5518
Fax Number
608-742-4087
Provider Enumeration Date
09/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376944504 05 WI
institution
Provider Business Practice Location Address Details
Address
2901 Hunters Trl
City
Portage
State
Wisconsin
Zip
53901-3403
Phone Number
608-742-5518
Fax Number
608-742-4087
person
Provider Business Mailing Address Details
Address
2901 Hunters Trl
City
Portage
State
Wisconsin
Zip
53901-3403
Phone Number
608-742-5518
Fax Number
608-742-4087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1047 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
327-228 (Wisconsin)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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