person
Mrs. Mary Lou Sullivan, MACOUNSELINGMFCC
Mental Health Counselor in Portland, Oregon
NPI 1801083514

Mary Lou Sullivan is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Mary Lou Sullivan practices in Portland, OR and has the professional credentials of MACOUNSELINGMFCC. The NPI Number for Mary Lou Sullivan is 1801083514 and holds a License No. (Oregon).

The current practice location address for Mary Lou Sullivan is 1132 Sw 13Th Avenue, Portland, OR and can be reached out via phone at 503-535-3885 and via fax at 503-223-6837.

Location: 1132 Sw 13Th Avenue, Portland, OR, 97205-1703
person
Provider Profile Details
NPI Number
1801083514
Provider Name
Mary Lou Sullivan
Credential
MACOUNSELINGMFCC
Provider Entity Type
Individual
Gender
Female
Address
1132 Sw 13Th Avenue, Portland, OR, 97205-1703
Phone Number
503-535-3885
Fax Number
503-223-6837
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1132 Sw 13Th Avenue
City
State
Zip
97205-1703
Phone Number
503-535-3885
Fax Number
503-223-6837
person
Provider Business Mailing Address Details
Address
1132 Sw 13Th Avenue
City
State
Zip
97205-1703
Phone Number
503-535-3885
Fax Number
503-223-6837
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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