| Allison Sullivan Llc | |
|
993 Nw Circle Blvd Corvallis OR 97330-1408 | |
| (541) 286-7822 | |
| (877) 894-5104 |
| Full Name | Allison Sullivan Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 993 Nw Circle Blvd, Corvallis, Oregon |
| Authorized Official Name and Position | Allison Sullivan (OWNER) |
| Authorized Official Contact | 5412867822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Sullivan Llc 993 Nw Circle Blvd Corvallis OR 97330-1408 Ph: (541) 286-7822 | Allison Sullivan Llc 993 Nw Circle Blvd Corvallis OR 97330-1408 Ph: (541) 286-7822 |
| NPI Number | 1609409671 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609409671 | NPI | - | NPPES |
| C3396 | Other | OR | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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