CORLISS WENTWORTH COUNSELOR NPI 1669691176

NPI Information

  • NPI: 1669691176
  • Provider Name: CORLISS WENTWORTH, COUNSELOR
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1601 E FOURTH PLAIN BLVD # 101
    VANCOUVER, WA
    ZIP 98661
  • Phone: (360) 397-8246

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NPI Details

Corliss Wentworth, COUNSELOR is an addiction (substance use disorder) counselor in Vancouver, WA. Corliss Wentworth, COUNSELOR NPI is 1669691176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1601 E FOURTH PLAIN BLVD # 101
VANCOUVER, WA
ZIP 98661-713
Phone: (360) 397-8246
Fax: (360) 397-8450

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CP00005457WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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