Individual
DR. LISA MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5700 23RD DR W, EVERETT, WA 98203-1570
(425) 332-2326
Mailing address
5700 23RD DR W, EVERETT, WA 98203-1570
(425) 322-2326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
RC 00060534
WA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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