Individual provider · Type 1 NPI

Corynn Nicole Fenton, SUDP

Addiction (Substance Use Disorder) Counselor · Lacey, WA

NPI number 1578411567 Active

Practice location

4800 College St SE
Lacey, WA 98503-4389

Call (360) 456-7575 Map

Mailing address

1717 Cooper Point Rd SW Apt E29
Olympia, WA 98502-5756

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP.CP.70071323 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1578411567

Corynn Nicole Fenton, SUDP's National Provider Identifier is 1578411567, issued on Mar 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lacey, WA. The record was last updated on Mar 17, 2026.