Provider Demographics
NPI:1841978277
Name:CORBETT, SERENA RONNELL (AAC, CBT)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:RONNELL
Last Name:CORBETT
Suffix:
Gender:F
Credentials:AAC, CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12250 GREENWOOD AVE N APT 107
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19707 44TH AVE W STE 201
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6758
Practice Address - Country:US
Practice Address - Phone:425-371-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health