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Mr. Peter Vaughn Sullivan
Counselor in San Rafael, California
NPI 1871895870

Peter Vaughn Sullivan is a Counselor based in San Rafael, CA. Peter Vaughn Sullivan practices in San Rafael, CA. The NPI Number for Peter Vaughn Sullivan is 1871895870 and holds a License No. (California).

The current practice location address for Peter Vaughn Sullivan is 4020 Civic Center Dr, San Rafael, CA and can be reached out via phone at 415-491-2566 and via fax at 415-472-2186.

Location: 4020 Civic Center Dr, San Rafael, CA, 94903-4173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871895870
Provider Name
Peter Vaughn Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
4020 Civic Center Dr, San Rafael, CA, 94903-4173
Phone Number
415-491-2566
Fax Number
415-472-2186
Provider Enumeration Date
11/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4020 Civic Center Dr
City
San Rafael
State
California
Zip
94903-4173
Phone Number
415-491-2566
Fax Number
415-472-2186
person
Provider Business Mailing Address Details
Address
4020 Civic Center Dr
City
San Rafael
State
California
Zip
94903-4173
Phone Number
415-491-2566
Fax Number
415-472-2186
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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