Individual
CORINNE STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 NE 134TH ST STE 220A, VANCOUVER, WA 98685-2722
(253) 508-4602
(360) 737-6663
Mailing address
1313 NE 134TH ST STE 220A, VANCOUVER, WA 98685-2722
(253) 508-4602
(360) 737-6663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60865801
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
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—
Other
Enumeration date
08/08/2016
Last updated
10/08/2021
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