Lysha A Sullivan
Lysha A Sullivan is a Counselor in Jerome, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
130 S Lincoln AveJerome, ID 83338-2631
Phone: (208) 595-4950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Behavior Analyst | Taxonomy 103K00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1881418051 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 13, 2024 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 13, 2024 |
| Mailing address | 130 S Lincoln Ave, Jerome, ID 83338-2631 |
Other providers in Jerome
-
Family Health Services Corporation
200 10th Ave W, Jerome, ID 83338-7034 · (208) 324-3396
-
Family Health Services Corporation
218 W Nez Perce, Jerome, ID 83338-5077 · (208) 324-3471
-
Christine M Ivie, LPC-815
41 Northridge Way, Jerome, ID 83338-6200 · (208) 871-7749
-
Danielle Myers
414 N Lincoln Ave, Jerome, ID 83338-2300 · (208) 324-5431
-
Katelin Mw Wareham
130 S Lincoln, Jerome, ID 83338 · (208) 313-9080