person
Mary Kathleen Sullivan, MA
Mental Health Counselor in Kelso, Washington
NPI 1982140893

Mary Kathleen Sullivan is a Mental Health Counselor based in Kelso, WA and is specialized in Mental Health. Mary Kathleen Sullivan practices in Kelso, WA and has the professional credentials of MA. The NPI Number for Mary Kathleen Sullivan is 1982140893 and holds a License No. CG 60673859 (Washington).

The current practice location address for Mary Kathleen Sullivan is 309 Oak St, Kelso, WA and can be reached out via phone at 360-577-7442 and via fax at 360-577-7904.

Location: 309 Oak St, Kelso, WA, 98626-0111
person
Provider Profile Details
NPI Number
1982140893
Provider Name
Mary Kathleen Sullivan
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
309 Oak St, Kelso, WA, 98626-0111
Phone Number
360-577-7442
Fax Number
360-577-7904
Provider Enumeration Date
01/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
309 Oak St
City
State
Zip
98626-2340
Phone Number
360-577-7442
Fax Number
360-577-7904
person
Provider Business Mailing Address Details
Address
309 Oak St
City
State
Zip
98626-2340
Phone Number
360-577-7442
Fax Number
360-577-7904
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG 60673859 (Washington)
Definition
Definition to come...
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