Individual
ALYSSA BRIANNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14839 SE 82ND DR, CLACKAMAS, OR 97015-7624
(503) 372-5147
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 372-5147
(503) 266-8632
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2014
Last updated
05/01/2025
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