BRENT LAWRENCE CORVALAN MA
NPI 1871205047
Counselor - Mental Health in Ilwaco, WA

Active since December 20, 2022
152 1ST AVE N, ILWACO, WA 98624(360) 261-6930 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brent Lawrence Corvalan Ma NPPES

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

BRENT LAWRENCE CORVALAN MA (NPI 1871205047) is an individual mental health provider in Ilwaco, Washington and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1871205047
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRENT LAWRENCE CORVALANCredential: MA
Location Address152 1ST AVE NIlwaco, WA 98624-9137
Mailing AddressPo Box 1447Chehalis, WA 98532-0378 · (360) 261-6930
Sole ProprietorYes
Enumeration DateDecember 20, 2022
NPPES CertifiedDecember 15, 2022
NPI 1871205047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
152 1ST AVE N, Ilwaco, WA 98624

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Counselor
152 1ST AVE N
ILWACO, WA 98624
Social Worker (Clinical)
152 1ST AVE N
ILWACO, WA 98624
Counselor (Professional)
152 1ST AVE N
ILWACO, WA 98624
Counselor
152 1ST AVE N
ILWACO, WA 98624

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 Brent Corvalan's NPI number?

The NPI number for Brent Corvalan is 1871205047. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Brent Corvalan located?

Brent Corvalan practices at 152 1st Ave N, Ilwaco, WA 98624. The listed phone number is (360) 261-6930.

What is Brent Corvalan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brent Corvalan was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.