person
Vicroria Lynn Sullivan, LPC
Professional Counselor in Siloam Springs, Arkansas
NPI 1467497099

Vicroria Lynn Sullivan is a Professional Counselor based in Springdale, AR and is specialized in Professional. Vicroria Lynn Sullivan practices in Siloam Springs, AR and has the professional credentials of LPC. The NPI Number for Vicroria Lynn Sullivan is 1467497099 and holds a License No. P0304018 (Arkansas).

The current practice location address for Vicroria Lynn Sullivan is 710 S Holly St, Siloam Springs, AR and can be reached out via phone at 479-750-2020 and via fax at 479-524-5197.

Location: 710 S Holly St, Siloam Springs, AR, 72766-6430
person
Provider Profile Details
NPI Number
1467497099
Provider Name
Vicroria Lynn Sullivan
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
710 S Holly St, Siloam Springs, AR, 72766-6430
Phone Number
479-750-2020
Fax Number
479-524-5197
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5Y705 01 AR BLUE SHIELD PROIVDER #
institution
Provider Business Practice Location Address Details
Address
710 S Holly St
City
State
Zip
72761-3304
Phone Number
479-750-2020
Fax Number
479-524-5197
person
Provider Business Mailing Address Details
Address
710 S Holly St
City
State
Zip
72761-3304
Phone Number
479-750-2020
Fax Number
479-524-5197
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P0304018 (Arkansas)
Definition
Definition to come...
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