Individual provider · Type 1 NPI

Anne D. Sullivan

Mental Health Counselor · Portland, OR

NPI number 1083883920 Active

Practice location

605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1083883920

Anne D. Sullivan's National Provider Identifier is 1083883920, issued on Feb 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 13, 2011.