person
Stacy L Sullivan, LPC
Professional Counselor in Madison, Wisconsin
NPI 1457876062

Stacy L Sullivan is a Professional Counselor based in Madison, WI and is specialized in Professional. Stacy L Sullivan practices in Madison, WI and has the professional credentials of LPC. The NPI Number for Stacy L Sullivan is 1457876062 and holds a License No. 5783-125 (Wisconsin).

The current practice location address for Stacy L Sullivan is 6502 Grand Teton Plz Ste 204, Madison, WI and can be reached out via phone at 608-338-1786 and via fax at 608-831-4383.

Location: 6502 Grand Teton Plz Ste 204, Madison, WI, 53704-2733
person
Provider Profile Details
NPI Number
1457876062
Provider Name
Stacy L Sullivan
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6502 Grand Teton Plz Ste 204, Madison, WI, 53704-2733
Phone Number
608-338-1786
Fax Number
608-831-4383
Provider Enumeration Date
08/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6502 Grand Teton Plz Ste 204
City
State
Zip
53719-1047
Phone Number
608-338-1786
Fax Number
608-831-4383
person
Provider Business Mailing Address Details
Address
6502 Grand Teton Plz Ste 204
City
State
Zip
53719-1047
Phone Number
608-338-1786
Fax Number
608-831-4383
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5783-125 (Wisconsin)
Definition
Definition to come...
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