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Adam Sullivan LLC

Counselor, Mental Health in Bellevue, WA. Organization (NPI-2).

NPI number1669197943
StatusActive
Last updated in NPPESJul 31, 2023

Details

NPI
1669197943
Entity type
Organization (NPI-2)
Legal business name
Adam Sullivan LLC
Organization subpart
No
Enumeration date
Oct 10, 2022
Certification date
Jul 31, 2023
Last updated
Jul 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

9 Lake Bellevue Dr Ste 217
Bellevue, WA 98005-2454

Phone 206-486-5642 · Fax 206-338-0639

Mailing address

240 S Sunnyside Ave Unit 187
Sequim, WA 98382-4007

Phone 206-486-5642 · Fax 206-338-0639

Authorized official

Adam Sullivan
Owner
2064865642

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