Individual
COREENIA LEE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
500 SE WASHINGTON AVE, CHEHALIS, WA 98532-3058
(509) 232-5766
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5733
(509) 321-5472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NC60766510
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
02/20/2019
Last updated
02/20/2019
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