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Individual

MRS. AMBER LYNN CORNEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-4339
Mailing address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-4339

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61575060
WA

Other

Enumeration date
10/01/2024
Last updated
11/05/2025
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