Austin Sullivan
Austin Sullivan is a Mental Health Counselor in Milwaukie, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
13850 SE Autumn Ridge TerMilwaukie, OR 97267-2150
Phone: (503) 974-9250
Fax: (503) 974-9586
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE |
|---|
Record details
| NPI number | 1548882723 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2020 |
| Last updated in NPPES | November 17, 2021 |
| Certification date | May 11, 2020 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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