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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE SULLIVAN, MS, LAC, NCC

Active Sole Proprietor

STEPHANIE SULLIVAN, MS, LAC, NCC is a Community/Behavioral Health healthcare provider located in RED BANK, New Jersey. NPI 1750779989 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · RED BANK, NJ

Registration Details

NPI Number
1750779989
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2014 (11.654258803394 yrs)
Last Updated
Dec 22, 2014
License
37AC00159000 (NJ)
Sole Proprietor
Yes

Practice Information

Address
145 MAPLE AVE
RED BANK, NJ, 077011717
Browse NJ providers · Browse ZIP 07701
Phone
7327479660
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in RED BANK, NJ

Name Credential NPI
SUSANA PESTANA-SZWARC MS 1568860864
BRENDA A DOS SANTOS LPC LCADC NCC CCS 1992460232
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.