Individual provider · Type 1 NPI

Joseph P. Sullivan, QMHA-R

Mental Health Counselor · Portland, OR

NPI number 1902604911 Active

Practice location

1310 SW 17th Ave
Portland, OR 97201-2522

Call (971) 275-4097 Map

Fax (971) 245-3043

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X24-QMHA-R-5340 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1902604911

Joseph P. Sullivan, QMHA-R's National Provider Identifier is 1902604911, issued on Mar 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 5, 2025.