Individual provider · Type 1 NPI
Nori Deatherage
Mental Health Counselor · Corona Del Mar, CA
NPI number
1063188787
Active
Practice location
2721 E Coast Hwy Ste 210
Corona Del Mar, CA 92625-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 9981 (CA) |
Mental Health Counselor: Definition to come...
About NPI 1063188787
Nori Deatherage's National Provider Identifier is 1063188787, issued on Aug 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corona Del Mar, CA. The record was last updated on Aug 22, 2021.