Most Relevant Information
Provider Data
| NPI Number: | 1003579798 |
| Provider Name: | RHEANNE SULLIVAN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 81147 |
Most Important Dates
| Enumeration Date: | 10/19/2021 |
| Last Updated: | 10/19/2021 |
Provider Practice Location
1313 CHERRY ST
GRAHAM
TX
764504216
Practice Location Phone/Fax
| Phone: | 8175655193 |
| Fax: |
Provider Mailing Location
1313 CHERRY ST
GRAHAM
TX
764504216
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |