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Carol Sullivan
Mental Health Counselor in Vicksburg, Mississippi
NPI 1396429932

Carol Sullivan is a Mental Health Counselor based in Vicksburg, MS and is specialized in Mental Health. Carol Sullivan practices in Vicksburg, MS. The NPI Number for Carol Sullivan is 1396429932 and holds a License No. (Mississippi).

The current practice location address for Carol Sullivan is 1905 Mission 66, Vicksburg, MS and can be reached out via phone at 601-738-5820.

Location: 1905 Mission 66, Vicksburg, MS, 39180-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396429932
Provider Name
Carol Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1905 Mission 66, Vicksburg, MS, 39180-3711
Phone Number
601-738-5820
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1905 Mission 66
City
Vicksburg
State
Mississippi
Zip
39180-3711
Phone Number
601-738-5820
Fax Number
person
Provider Business Mailing Address Details
Address
1905 Mission 66
City
Vicksburg
State
Mississippi
Zip
39180-3711
Phone Number
601-738-5820
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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