Most Relevant Information
Provider Data
| NPI Number: | 1003365693 |
| Provider Name: | KATHYRN SULLIVAN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2764 |
Most Important Dates
| Enumeration Date: | 09/24/2016 |
| Last Updated: | 09/24/2016 |
Provider Practice Location
11030 OAKMONT ST
SUITE 200A
OVERLAND PARK
KS
662101100
Practice Location Phone/Fax
| Phone: | 9132749204 |
| Fax: | 9138713133 |
Provider Mailing Location
11030 OAKMONT ST
SUITE 200A
OVERLAND PARK
KS
662101100
Provider Mailing Phone/Fax
| Phone: | 9132749204 |
| Fax: | 9138713133 |