Brent Lawrence Corvalan, MA
NPI #1871205047 in Ilwaco, Washington
Provider Information
- NPI Number
- 1871205047
- Entity Type
- Individual
- Name
- Brent Lawrence Corvalan, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Dec 20, 2022
- Last Updated
- Dec 20, 2022
Practice Location
- Address
- 152 1ST AVE N
- City
- Ilwaco
- State
- Washington
- ZIP Code
- 98624-9137
- Phone
- (360) 261-6930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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