Brian Sullivan
Brian Sullivan is a Mental Health Counselor in Grants Pass, Oregon. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1215 SW G StGrants Pass, OR 97526-2544
Phone: (541) 476-2373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1699290106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1215 Sw G St, Grants Pass, OR 97526-2544 |
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MS. Leslie Anne Straka, BS
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Mr. Randall D Sumner
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