| Brent Lawrence Corvalan, MA | |
|
152 1st Ave N, Ilwaco, WA 98624-9137 | |
| (360) 261-6930 | |
| Not Available |
| Full Name | Brent Lawrence Corvalan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 152 1st Ave N, Ilwaco, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871205047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Lawrence Corvalan, MA Po Box 1447, Chehalis, WA 98532-0378 Ph: (360) 261-6930 | Brent Lawrence Corvalan, MA 152 1st Ave N, Ilwaco, WA 98624-9137 Ph: (360) 261-6930 |
Keli Marie Vasquez, AGENCY AFFILIATED CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-214-0474 | |
Lacie Ranae Ranieri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 School Rd, Ilwaco, WA 98624 Phone: 360-642-3731 | |
Tiffany Arden Bryce, MA, NBCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 1st Ave N, Ilwaco, WA 98624 Phone: 360-261-6930 | |
Jessica Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 First Ave N, Ilwaco, WA 98624 Phone: 503-960-5098 |