Most Relevant Information
Provider Data
NPI Number: | 1003286469 |
Provider Name: | C. MARY COREY |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/29/2015 |
Last Updated: | 09/29/2015 |
Provider Practice Location
303 POTRERO ST
#42-103
SANTA CRUZ
CA
950602741
Practice Location Phone/Fax
Phone: | 8314669307 |
Fax: | 8314669748 |
Provider Mailing Location
303 POTRERO ST
#42-103
SANTA CRUZ
CA
950602741
Provider Mailing Phone/Fax
Phone: | 8314669307 |
Fax: | 8314669748 |