Individual
CORLISS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 N COMMERCE PARK DR STE 318, CINCINNATI, OH 45215-3187
(513) 761-0158
Mailing address
1 N COMMERCE PARK DR STE 318, CINCINNATI, OH 45215-3187
(513) 761-0158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.110131
OH
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143878
—
OH
Enumeration date
09/21/2016
Last updated
03/14/2022
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