Doctor Name: | SUNDAY SUTTON |
NPI Number: | 1891916615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 112 W. Main St. Goldendale, WA - 98620 |
Business Phone Number: | 5097735801 |
Business Fax Number: | |
Mailing Address: | Po Box 959, YAKIMA |
State: | WA |
Postal Code: | 98907 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |