Individual provider · Type 1 NPI

Mary Lou Sullivan, MA COUNSELING MFCC

Mental Health Counselor · Portland, OR

NPI number 1801083514 Active

Practice location

1132 SW 13th Avenue
Portland, OR 97205-1703

Fax (503) 223-6837

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801083514

Mary Lou Sullivan, MA COUNSELING MFCC's National Provider Identifier is 1801083514, issued on Sep 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 26, 2007.