Individual provider · Type 1 NPI

Carolyn Marie Wiltbank, MA

Mental Health Counselor · Corvallis, OR

NPI number 1164568895 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

4691 Falcon St SW
Albany, OR 97321-5354

Other practice locations

  • 2400 NW Kings Blvd, Corvallis, OR 97330-3900 · (541) 757-2400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164568895

Carolyn Marie Wiltbank, MA's National Provider Identifier is 1164568895, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corvallis, OR. The record was last updated on Jul 19, 2023.