Individual provider · Type 1 NPI

Kyle Robert Sullivan

Mental Health Counselor · Kennewick, WA

NPI number 1982905105 Active

Practice location

2635 W Deschutes Ave
Kennewick, WA 99336-3004

Call (509) 783-0500 Map

Mailing address

4703 Shoreline Ct
Pasco, WA 99301-9091

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Community Health Worker 172V00000XNone listed
Mental Health Counselor Primary 101YM0800XLH60032254 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1982905105

Kyle Robert Sullivan's National Provider Identifier is 1982905105, issued on Nov 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kennewick, WA. The record was last updated on Apr 21, 2025.