AUSTIN SULLIVAN

MILWAUKIE, OR
NPI1548882723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2020-05-11
Last Update Date2021-11-17
Business Address
AUSTIN SULLIVAN
13850 SE AUTUMN RIDGE TER
MILWAUKIE, OR 97267-2150
Phone number: 503-974-9250
Mailing Address
AUSTIN SULLIVAN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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