Individual
MRS. SHERRY DENISE SULLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADCII
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 831-5970
Mailing address
12505 AIRLIE RD, MONMOUTH, OR 97361-9765
(971) 241-8680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OR
Other
Enumeration date
12/06/2006
Last updated
04/11/2018
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