Search › Washington › 1041C0700X
Miranda Sullivan, LICSW, MHP, SUDPT
NPI 1912521469 · on the registry since 2020
Practice
- Address
- 12245 N Park Ave N
Seattle, WA 98133 - Phone
- (206) 551-1464
- Organisation at this address
- Seattle Mental Health Collective
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington