person
Michael Sullivan
Professional Counselor in Bend, Oregon
NPI 1376243402

Michael Sullivan is a Professional Counselor based in Bend, OR and is specialized in Professional. Michael Sullivan practices in Bend, OR. The NPI Number for Michael Sullivan is 1376243402 and holds a License No. C6081 (Oregon).

The current practice location address for Michael Sullivan is 19213 Mt Shasta Dr, Bend, OR and can be reached out via phone at 802-595-9090.

Location: 19213 Mt Shasta Dr, Bend, OR, 97703-3050
person
Provider Profile Details
NPI Number
1376243402
Provider Name
Michael Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
19213 Mt Shasta Dr, Bend, OR, 97703-3050
Phone Number
802-595-9090
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19213 Mt Shasta Dr
City
State
Zip
97703-3050
Phone Number
802-595-9090
Fax Number
person
Provider Business Mailing Address Details
Address
19213 Mt Shasta Dr
City
State
Zip
97703-3050
Phone Number
802-595-9090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C6081 (Oregon)
Definition
Definition to come...
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