Black, Corrin

Black, Corrin is an individual health care provider with primary practice located at 3443 Lilly Rd Ne , Olympia WA 98506-3091. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Black, Corrin can be contacted via phone (360) 456-2237.

Contact Information

Primary practice address
3443 Lilly Rd Ne Olympia WA 98506-3091
Phone: (360) 456-2237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Washington

Profile Details

NPI number 1326626755
LBN Legal business name Black, Corrin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2021
Last updated Mar 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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