person
Ms. Beth Louise Sullivan, MS
Professional Counselor in Wisconsin Rapids, Wisconsin
NPI 1760558175

Beth Louise Sullivan is a Professional Counselor based in Wisconsin Rapids, WI and is specialized in Professional. Beth Louise Sullivan practices in Wisconsin Rapids, WI and has the professional credentials of MS. The NPI Number for Beth Louise Sullivan is 1760558175 and holds a License No. 2697125 (Wisconsin).

The current practice location address for Beth Louise Sullivan is 2611 12Th St S, Wisconsin Rapids, WI and can be reached out via phone at 715-421-8840 and via fax at 715-421-8858.

Location: 2611 12Th St S, Wisconsin Rapids, WI, 54494
person
Provider Profile Details
NPI Number
1760558175
Provider Name
Beth Louise Sullivan
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
2611 12Th St S, Wisconsin Rapids, WI, 54494
Phone Number
715-421-8840
Fax Number
715-421-8858
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39724500 05 WI
institution
Provider Business Practice Location Address Details
Address
2611 12Th St S
City
State
Zip
54494
Phone Number
715-421-8840
Fax Number
715-421-8858
person
Provider Business Mailing Address Details
Address
2611 12Th St S
City
State
Zip
54494
Phone Number
715-421-8840
Fax Number
715-421-8858
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2697125 (Wisconsin)
Definition
Definition to come...
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