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Joan M Sullivan, MA
Counselor in South Bend, Indiana
NPI 1689704728

Joan M Sullivan is a Counselor based in South Bend, IN. Joan M Sullivan practices in South Bend, IN and has the professional credentials of MA. The NPI Number for Joan M Sullivan is 1689704728 and holds a License No. (Indiana).

The current practice location address for Joan M Sullivan is 403 E Madison St, South Bend, IN and can be reached out via phone at 574-283-1107 and via fax at 574-283-1131.

Location: 403 E Madison St, South Bend, IN, 46637-4348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689704728
Provider Name
Joan M Sullivan
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
403 E Madison St, South Bend, IN, 46637-4348
Phone Number
574-283-1107
Fax Number
574-283-1131
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider Business Mailing Address Details
Address
403 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-283-1107
Fax Number
574-283-1131
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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