Allison Sullivan LLC
Counselor, Professional in Corvallis, OR. Organization (NPI-2).
NPI number1609409671
StatusActive
Last updated in NPPESFeb 19, 2020
Details
- NPI
- 1609409671
- Entity type
- Organization (NPI-2)
- Legal business name
- Allison Sullivan LLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2020
- Certification date
- Feb 19, 2020
- Last updated
- Feb 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
993 Nw Circle BlvdCorvallis, OR 97330-1408
Phone 541-286-7822 · Fax 877-894-5104
Mailing address
993 Nw Circle BlvdCorvallis, OR 97330-1408
Phone 541-286-7822 · Fax 877-894-5104
Authorized official
Allison Sullivan
Owner
5412867822
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