| Kerry Sullivan Counseling Pllc | |
|
142 Brookeridge Dr Waterloo IA 50702-5702 | |
| (319) 254-5885 | |
| Not Available |
| Full Name | Kerry Sullivan Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 142 Brookeridge Dr, Waterloo, Iowa |
| Authorized Official Name and Position | Jen Wollum (CREDENTIALING) |
| Authorized Official Contact | 7123630917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Sullivan Counseling Pllc 140 Brookeridge Dr Waterloo IA 50702-5702 Ph: (319) 254-5885 | Kerry Sullivan Counseling Pllc 142 Brookeridge Dr Waterloo IA 50702-5702 Ph: (319) 254-5885 |
| NPI Number | 1760341770 |
|---|---|
| Provider Enumeration Date | 01/16/2026 |
| Last Update Date | 01/16/2026 |
| Certification Date | 01/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760341770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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