Sullivan, Mark L

Sullivan, Mark L is an individual health care provider with primary practice located at 1015 Lanton Rd , West Plains MO 65775-3854. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Sullivan, Mark L can be contacted via phone (417) 256-2570.

Contact Information

Primary practice address
1015 Lanton Rd West Plains MO 65775-3854
Phone: (417) 256-2570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1295260347
LBN Legal business name Sullivan, Mark L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2017
Last updated Aug 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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