Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corliss Wentworth, COUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669691176

Corliss Wentworth, COUNSELOR is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

1601 E Fourth Plain Blvd # 101
Vancouver, WA 98661-3713
Phone: (360) 397-8246
Fax: (360) 397-8450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP00005457 (WA)

Record details

NPI number1669691176
Entity typeIndividual (Type 1)
GenderFemale
Credentials COUNSELOR
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESMarch 25, 2019

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