Individual provider · Type 1 NPI
Michael Sullivan
Professional Counselor · Bend, OR
NPI number
1376243402
Active
Practice location
164 NW Hawthorne Ave
Bend, OR 97703-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C6081 (OR) |
Professional Counselor: Definition to come...
3 other providers at this address
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- Natalie M. Heidtmann, LPC, MS, CADCIProfessional Counselor Bend, OR NPI 1023488061
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- Sarah N. MullaneProfessional Counselor Bend, OR NPI 1033830955
About NPI 1376243402
Michael Sullivan's National Provider Identifier is 1376243402, issued on Mar 7, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Jul 22, 2025.