MR. Bruce Wayne Sullivan, LPC is a professional counselor in Gulfport, MS. MR. Bruce Wayne Sullivan, LPC NPI is 1508836537. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
450 E PASS RD
STE. 3
GULFPORT, MS
ZIP 39507-212
Phone: (228) 604-0099
Fax: (228) 604-2001
The enumeration date for this NPI number is 1/24/2006 and was last updated on 7/8/2007.