Gwendolyn Rose Sullivan, AMFT, MS
Marriage & Family Therapist in Colton, CA. Individual provider (NPI-1).
NPI number1942086830
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1942086830
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Rose Sullivan
- Credential
- AMFT, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2023
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 140875 | CA | Yes |
Practice location
1461 E Cooley Dr Ste 100Colton, CA 92324-3921
Phone 877-527-7227
Mailing address
25910 Acero Ste 160Mission Viejo, CA 92691-2777
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All 87 Marriage & Family Therapist providers in Colton · All 2,912 providers in Colton
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