Individual
JUSTINE ELISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7282 STINSON AVE STE B, GIG HARBOR, WA 98335-4930
(253) 858-5846
Mailing address
5404 104TH ST SW, LAKEWOOD, WA 98499-4804
(253) 363-5239
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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