person
Mr. Martin Sullivan, LPC
Professional Counselor in Red Bank, New Jersey
NPI 1861605156

Martin Sullivan is a Professional Counselor based in Fair Haven, NJ and is specialized in Professional. Martin Sullivan practices in Red Bank, NJ and has the professional credentials of LPC. The NPI Number for Martin Sullivan is 1861605156 and holds a License No. 37PC00315100 (New Jersey).

The current practice location address for Martin Sullivan is 41 Reckless Pl, Red Bank, NJ and can be reached out via phone at 732-996-9072 and via fax at 732-530-4534.

Location: 41 Reckless Pl, Red Bank, NJ, 07704-3526
person
Provider Profile Details
NPI Number
1861605156
Provider Name
Martin Sullivan
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
41 Reckless Pl, Red Bank, NJ, 07704-3526
Phone Number
732-996-9072
Fax Number
732-530-4534
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0043532 05 NJ
institution
Provider Business Practice Location Address Details
Address
41 Reckless Pl
City
State
Zip
07701-1703
Phone Number
732-996-9072
Fax Number
732-530-4534
person
Provider Business Mailing Address Details
Address
41 Reckless Pl
City
State
Zip
07701-1703
Phone Number
732-996-9072
Fax Number
732-530-4534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37PC00315100 (New Jersey)
Definition
Definition to come...
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