Provider Demographics
NPI:1124338918
Name:SULLIVAN, CHRISTINE STYLES (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:STYLES
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:905 OAKWATER DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4168
Mailing Address - Country:US
Mailing Address - Phone:919-795-6942
Mailing Address - Fax:919-400-4490
Practice Address - Street 1:800 W WILLIAMS ST
Practice Address - Street 2:SUITE 231-P
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5203
Practice Address - Country:US
Practice Address - Phone:919-795-6942
Practice Address - Fax:919-400-4490
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7820101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional