CORYNN NICOLE FENTON SUDP
NPI 1578411567
Counselor - Addiction (Substance Use Disorder) in Lacey, WA

Active since March 17, 2026
4800 COLLEGE ST SE, LACEY, WA 98503(360) 456-7575 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corynn Nicole Fenton Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORYNN NICOLE FENTON SUDP (NPI 1578411567) is an individual addiction (substance use disorder) provider in Lacey, Washington, licensed in Washington (CDP.CP.70071323) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1578411567
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCORYNN NICOLE FENTONCredential: SUDP
Location Address4800 COLLEGE ST SELacey, WA 98503-4389
Mailing Address1717 Cooper Point Rd Sw Apt E29Olympia, WA 98502-5756
Sole ProprietorNo
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
NPI 1578411567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CDP.CP.70071323
4800 COLLEGE ST SE, Lacey, WA 98503

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503
Emergency Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Registered Nurse
4800 COLLEGE ST SE
LACEY, WA 98503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corynn Fenton's NPI number?

The NPI number for Corynn Fenton is 1578411567. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Corynn Fenton located?

Corynn Fenton practices at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 456-7575.

What is Corynn Fenton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Corynn Fenton was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.