Doctor Name: | LEANNE SULLIVAN |
NPI Number: | 1073946083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LMHCA |
License Number: | MC 60398056 |
Business Practice Address: | 2832 S Meridian Suite 101 Puyallup, WA - 983731447 |
Business Phone Number: | 2534747188 |
Business Fax Number: | 2534467137 |
Mailing Address: | 4227 S Meridian, Suite #c-576 PUYALLUP |
State: | WA |
Postal Code: | 983733603 |
Phone Number: | 2534747188 |
Fax Number: | 2534467137 |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MC 60398056 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |