BYRON SULLIVAN

SPRINGFIELD, OR
NPI1235886524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2022-03-07
Last Update Date2025-04-07
Business Address
BYRON SULLIVAN
2211 CLEAR VUE LN
SPRINGFIELD, OR 97477-1373
Phone number: 541-505-8558
Mailing Address
BYRON SULLIVAN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170