Individual
ALLISON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CADC-I, LPC
Contact information
Practice address
500 SNELL HALL, CORVALLIS, OR 97331-8593
(541) 737-2131
Mailing address
500 SNELL HALL, CORVALLIS, OR 97331-8593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3396
OR
Other
Enumeration date
12/01/2010
Last updated
08/12/2014
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