Individual provider · Type 1 NPI

Mariah Wynne Beck Sullivan

Mental Health Counselor · Eugene, OR

NPI number 1174115398 Active

Practice location

2149 Centennial Plz Ste 4
Eugene, OR 97401-2456

Fax (541) 687-9279

Mailing address

78A Centennial Loop
Eugene, OR 97401-3082

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174115398

Mariah Wynne Beck Sullivan's National Provider Identifier is 1174115398, issued on Feb 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jun 3, 2022.