person
Bryan E. Sullivan, LPC
Mental Health Counselor in Charlotte, North Carolina
NPI 1710006325

Bryan E. Sullivan is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Bryan E. Sullivan practices in Charlotte, NC and has the professional credentials of LPC. The NPI Number for Bryan E. Sullivan is 1710006325 and holds a License No. LPC3531 (North Carolina).

The current practice location address for Bryan E. Sullivan is 1123 S Church St, Charlotte, NC and can be reached out via phone at 704-370-3235 and via fax at 704-370-3377.

Location: 1123 S Church St, Charlotte, NC, 28203-4003
person
Provider Profile Details
NPI Number
1710006325
Provider Name
Bryan E. Sullivan
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1123 S Church St, Charlotte, NC, 28203-4003
Phone Number
704-370-3235
Fax Number
704-370-3377
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102012 05 NC
E0997 01 NC MEDCOST
1378C 01 NC BLUECROSS BLUESHIELD
358073 01 NC MHN
institution
Provider Business Practice Location Address Details
Address
1123 S Church St
City
State
Zip
28203-4003
Phone Number
704-370-3235
Fax Number
704-370-3377
person
Provider Business Mailing Address Details
Address
1123 S Church St
City
State
Zip
28203-4003
Phone Number
704-370-3235
Fax Number
704-370-3377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC3531 (North Carolina)
Definition
Definition to come...
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