Individual provider · Type 1 NPI

Serena D. Sullivan

Mental Health Counselor · Portland, OR

NPI number 1164857173 Active

Practice location

11035 NE Sandy Blvd
Portland, OR 97220-2553

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164857173

Serena D. Sullivan's National Provider Identifier is 1164857173, issued on Sep 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 29, 2016.