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DALLAS MARIE SULLIVAN
NPI 1104655950
Marriage & Family Therapist in Glendora, CA

Active since July 30, 2024
1160 S GRAND AVE, GLENDORA, CA 91740(626) 335-5980 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dallas Marie Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS MARIE SULLIVAN (NPI 1104655950) is an individual marriage & family therapist in Glendora, California, licensed in California (AMFT147802) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1104655950
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDALLAS MARIE SULLIVAN
Location Address1160 S GRAND AVEGlendora, CA 91740-5000
Mailing Address1160 S Grand AveGlendora, CA 91740-5000 · (626) 335-5980
Phone(626) 335-5980
Sole ProprietorNo
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1104655950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · AMFT147802
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1160 S GRAND AVE, Glendora, CA 91740
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PETER LOPEZ P.T.
Licensed Psychiatric Technician
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MRS. ELSA YOLANDA WILLARD
Marriage & Family Therapist
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
SAMANTHA ARREOLA
Rehabilitation Practitioner
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MONIQUE YVONNE BETTANCOURT
Community Health Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MRS. JACQUELINE CARA PLANTE
Counselor (Mental Health)
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
CELESTE YVONNE DUCAS
Community Health Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
MISS SARAH ROSE GOMEZ
Social Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980
CAROLINA PEREZ LCSW
Social Worker (Clinical)
1160 S GRAND AVE
GLENDORA, CA 91740
Los Angeles County (626) 335-5980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Sullivan's NPI number?

The NPI number for Dallas Sullivan is 1104655950. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Dallas Sullivan located?

Dallas Sullivan practices at 1160 S Grand Ave, Glendora, CA 91740. The listed phone number is (626) 335-5980.

What is Dallas Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Dallas Sullivan was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.