Olivia Sullivan
Counselor, Professional in Pittsburg, KS. Individual provider (NPI-1).
NPI number1710692678
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1710692678
- Entity type
- Individual (NPI-1)
- Name
- Olivia Sullivan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 04351 | KS | Yes |
| 101YM0800X | Counselor, Mental Health | 03215 | KS |
Practice location
3011 N Michigan StPittsburg, KS 66762-2546
Phone 620-231-9873 · Fax 620-231-5062
Mailing address
Po Box 1832Pittsburg, KS 66762-1832
Phone 620-240-5668
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