Provider Demographics
NPI:1952199440
Name:ATWOOD, CORENNA LORENE
Entity type:Individual
Prefix:MS
First Name:CORENNA
Middle Name:LORENE
Last Name:ATWOOD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34386 PITTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-3519
Mailing Address - Country:US
Mailing Address - Phone:509-288-0738
Mailing Address - Fax:
Practice Address - Street 1:105 S 3RD ST
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-2009
Practice Address - Country:US
Practice Address - Phone:503-397-6900
Practice Address - Fax:503-397-6818
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health