Byron Sullivan
Byron Sullivan is a Mental Health Counselor in Springfield, Oregon. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2211 Clear Vue LnSpringfield, OR 97477-1373
Phone: (541) 505-8558
Fax: (541) 735-3946
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE |
|---|
Record details
| NPI number | 1235886524 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2022 |
| Last updated in NPPES | April 8, 2025 |
| Certification date | March 7, 2022 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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