person
Lisa Maria Sullivan, MFT
Mental Health Counselor in Newport Beach, California
NPI 1558521005

Lisa Maria Sullivan is a Mental Health Counselor based in Huntington Beach, CA and is specialized in Mental Health. Lisa Maria Sullivan practices in Newport Beach, CA and has the professional credentials of MFT. The NPI Number for Lisa Maria Sullivan is 1558521005 and holds a License No. MFC 43533 (California).

The current practice location address for Lisa Maria Sullivan is 1000 Quail St, Newport Beach, CA and can be reached out via phone at 714-875-7190.

Location: 1000 Quail St, Newport Beach, CA, 92648-5574
person
Provider Profile Details
NPI Number
1558521005
Provider Name
Lisa Maria Sullivan
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
1000 Quail St, Newport Beach, CA, 92648-5574
Phone Number
714-875-7190
Fax Number
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10 05 CA
institution
Provider Business Practice Location Address Details
Address
1000 Quail St
City
State
Zip
92660-2731
Phone Number
714-875-7190
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Quail St
City
State
Zip
92660-2731
Phone Number
714-875-7190
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFC 43533 (California)
Definition
Definition to come...
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