Michael Robert Sullivan
Counselor Social Worker
107 S Division St
Spokane
, Washington 99202-1510
Michael Robert Sullivan
Counselor Social Worker
107 S Division St
Spokane
, Washington 99202-1510
(509) 838-4651
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About
Features
Specialties
- Counselor
- Social Worker
Languages spoken
- English
Location
First Address
- Michael Robert Sullivan
- 107 S Division St
- Spokane, WA
- Zip : 99202-1510
- Phone : (509) 838-4651
Second Address
- Michael Robert Sullivan
- 107 S Division St
- Spokane, WA
- Zip : 99202-1510
- Phone : (509) 838-4651
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG60648868 | WA |
| Y | 104100000X | Social Worker | SC61158375 | WA |
National Provider Identifier
| NPI | 1003288796 |
|---|---|
| Provider Name | Michael Robert Sullivan |
| First Address | Spokane, WA 99202-1510 |
| Second Address | Spokane, WA 99202-1510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2015 |
| Last Update Date | 11/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.