Wentworth, Corliss
Wentworth, Corliss is an sole proprietor health care provider with primary practice located at 1601 E Fourth Plain Blvd # 101 , Vancouver WA 98661-3713. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wentworth, Corliss can be contacted via phone (360) 397-8246.Contact Information
Primary practice address
1601 E Fourth Plain Blvd # 101
Vancouver WA 98661-3713
Phone: (360) 397-8246
Fax: (360) 397-8450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00005457 | Washington |
Profile Details
| NPI number | 1669691176 |
|---|---|
| LBN Legal business name | Wentworth, Corliss |
| Credentials | COUNSELOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Mar 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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