Individual
COREYANNE L GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, PMH-C, SUDP
Contact information
Practice address
5931 140TH ST SE, EVERETT, WA 98208-9444
(425) 298-5583
Mailing address
2804 GRAND AVE STE 303A, EVERETT, WA 98201-3586
(425) 298-5583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006101
WA
104100000X
Social Worker
Primary
LW60819530
WA
1041C0700X
Clinical Social Worker
SC60491426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790826600
—
WA
Enumeration date
06/09/2017
Last updated
01/17/2024
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