Individual provider · Type 1 NPI

Corie Canova, SUDP

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1821531823 Active

Practice location

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7369

Fax (360) 993-3047

Mailing address

PO Box 1337
Vancouver, WA 98666-1337

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60875549 (WA)

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

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About NPI 1821531823

Corie Canova, SUDP's National Provider Identifier is 1821531823, issued on Nov 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Dec 2, 2024.