Organization
ALLISON SULLIVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON SULLIVAN LPP, CADC-1 (OWNER)
(541) 286-7822
Entity
Organization
Contact information
Practice address
993 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
(541) 286-7822
(877) 894-5104
Mailing address
993 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
(541) 286-7822
(877) 894-5104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3396
LPC LICENSE
OR
Enumeration date
02/19/2020
Last updated
02/19/2020
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