Individual provider · Type 1 NPI

Carmen Sullinales

Mental Health Counselor · Portland, OR

NPI number 1154636983 Active

Practice location

231 SE 12th Ave
Portland, OR 97214-1342

Call (503) 546-9975 Map

Fax (503) 546-9976

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154636983

Carmen Sullinales's National Provider Identifier is 1154636983, issued on Aug 17, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 17, 2010.