Individual
BRENDA MARIE CORKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
1822 BLACK LAKE BLVD SW, SUITE 102-D, OLYMPIA, WA 98512-5628
(360) 866-2919
(360) 943-5382
Mailing address
1822 BLACK LAKE BLVD SW, SUITE 102-D, OLYMPIA, WA 98512-5628
(360) 866-2919
(360) 943-5382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00008132
WA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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