Mary Kathleen Sullivan, M.A.
Counselor, Mental Health in Kelso, WA. Individual provider (NPI-1).
NPI number1982140893
StatusActive
Last updated in NPPESJan 16, 2017
Details
- NPI
- 1982140893
- Entity type
- Individual (NPI-1)
- Name
- Mary Kathleen Sullivan
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2017
- Last updated
- Jan 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CG 60673859 | WA | Yes |
Other names
- Kate Sullivan (Other Name)
Practice location
309 Oak StKelso, WA 98626-2340
Phone 360-577-7442 · Fax 360-577-7904
Mailing address
Po Box 1077Kelso, WA 98626-0111
Phone 360-577-7442 · Fax 360-577-7904
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All 21 Mental Health Counselor providers in Kelso · All 288 providers in Kelso
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