Individual
CORENA DIANE CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61521806
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WDL448S6083B
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
05/17/2024
Last updated
05/17/2024
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