Dominique Lea Corellas
Dominique Lea Corellas is a Mental Health Counselor in Corvallis, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
2396 NW Kings Blvd Ste 201Corvallis, OR 97330-3984
Phone: (541) 224-1684
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1942823760 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 27, 2020 |
| Last updated in NPPES | May 31, 2022 |
| Certification date | May 31, 2022 |
| Mailing address | 2396 Nw Kings Blvd Ste 201, Corvallis, OR 97330-3984 |
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