CORLISS WENTWORTH

VANCOUVER, WA
NPI1669691176
Other NameCORLISS WENTWORTH-THOMPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00005457)
Enumeration Date2007-04-24
Last Update Date2019-03-25
Business Address
CORLISS WENTWORTH Counselor
1601 E FOURTH PLAIN BLVD # 101
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
Mailing Address
CORLISS WENTWORTH Counselor
2009 NE 117TH ST 101
VANCOUVER, WA 98686-4022
Phone number: 360-566-9112