Individual
DR. AMANDA SULLIVAN-KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.DIV., PSYD
Contact information
Practice address
335 3RD ST, RAYMOND, WA 98577-2413
(360) 261-6930
Mailing address
335 3RD ST, RAYMOND, WA 98577-2413
(360) 261-6930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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