Mr. Peter Vaughn Sullivan
Mr. Peter Vaughn Sullivan is a Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
4020 Civic Center DrSan Rafael, CA 94903-4173
Phone: (415) 491-2566
Fax: (415) 472-2186
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1871895870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 23, 2010 |
| Last updated in NPPES | August 25, 2015 |
| Mailing address | 4020 Civic Center Dr, San Rafael, CA 94903-4173 |
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