Individual
ASHLEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6118 SE BELMONT ST STE 317, PORTLAND, OR 97215-1982
(971) 328-4279
(971) 238-1516
Mailing address
PO BOX 33963, PORTLAND, OR 97292-3963
(971) 328-4279
(971) 238-1516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L6245
OR
Other
Enumeration date
10/14/2011
Last updated
01/17/2025
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