Individual
COLLEEN BLAIR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9706 4TH AVE NE STE 303, NORTHGATE, SEATTLE, WA 98115-2199
(206) 302-2900
(206) 302-2210
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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