SearchIdaho106H00000X

Melanie Sullivan, LMFT

NPI 1336221605 · on the registry since 2006

Practice

Address
697 N 900 E
Shelley, ID 83274
Phone
(208) 604-6019

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-30

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