Individual
KAYLEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBAI
Contact information
Practice address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Mailing address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
08/08/2023
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