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 |