SearchIdahoMental Health Counselor

Jessie Sullivan, LCPC,LMFT

NPI 1063674786 · on the registry since 2008 · sole proprietor

Practice

Address
660 S Woodruff Ave
Idaho Falls, ID 83401
Phone
(208) 523-1558
Fax
(208) 529-4788
Organisation at this address
Sullivan Mental Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Also registered as
Marriage & Family Therapist
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho