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Lori Sullivan
Counselor in Coos Bay, Oregon
NPI 1851757371

Lori Sullivan is a Counselor based in Coos Bay, OR. Lori Sullivan practices in Coos Bay, OR. The NPI Number for Lori Sullivan is 1851757371 and holds a License No. (Oregon).

The current practice location address for Lori Sullivan is 320 Central Ave, Coos Bay, OR and can be reached out via phone at 541-269-0321. You can also correspond with Lori Sullivan through the mailing address at 320 CENTRAL AVE, COOS BAY, OR - 97420-2272 (mailing address contact number: ).

Location: 320 Central Ave, Coos Bay, OR, 97420-2272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851757371
Provider Name
Lori Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
320 Central Ave, Coos Bay, OR, 97420-2272
Phone Number
541-269-0321
Fax Number
Provider Enumeration Date
01/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500400418 05 OR
institution
Provider Business Practice Location Address Details
Address
320 Central Ave
City
Coos Bay
State
Oregon
Zip
97420-2272
Phone Number
541-269-0321
Fax Number
person
Provider Business Mailing Address Details
Address
320 Central Ave
City
Coos Bay
State
Oregon
Zip
97420-2272
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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