Provider Demographics
NPI:1164581245
Name:GULLION, ALISON C (MA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:C
Last Name:GULLION
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2752
Mailing Address - Country:US
Mailing Address - Phone:360-694-2016
Mailing Address - Fax:360-694-8990
Practice Address - Street 1:6519 SE MILWUAKIE AVENUE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202
Practice Address - Country:US
Practice Address - Phone:971-258-2120
Practice Address - Fax:971-200-2719
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor