person
Miriam Lizette Sullivan, MA,LCPC
Professional Counselor in Chicago, Illinois
NPI 1740568385

Miriam Lizette Sullivan is a Professional Counselor based in Worth, IL and is specialized in Professional. Miriam Lizette Sullivan practices in Chicago, IL and has the professional credentials of MA,LCPC. The NPI Number for Miriam Lizette Sullivan is 1740568385 and holds a License No. 180.007775 (Illinois).

The current practice location address for Miriam Lizette Sullivan is 10725 S Western Ave, Chicago, IL and can be reached out via phone at 708-691-2497.

Location: 10725 S Western Ave, Chicago, IL, 60482-2015
person
Provider Profile Details
NPI Number
1740568385
Provider Name
Miriam Lizette Sullivan
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
10725 S Western Ave, Chicago, IL, 60482-2015
Phone Number
708-691-2497
Fax Number
Provider Enumeration Date
08/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10725 S Western Ave
City
State
Zip
60643-3135
Phone Number
708-691-2497
Fax Number
person
Provider Business Mailing Address Details
Address
10725 S Western Ave
City
State
Zip
60643-3135
Phone Number
708-691-2497
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.007775 (Illinois)
Definition
Definition to come...
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