Individual provider · Type 1 NPI

Larry Corrales

Professional Counselor · Douglas, AZ

NPI number 1154080125 Active

Practice location

1100 N F Ave
Douglas, AZ 85607-1919

Fax (520) 364-3378

Mailing address

1205 N F Ave
Douglas, AZ 85607-1920

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-20463 (AZ)

Professional Counselor: Definition to come...

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About NPI 1154080125

Larry Corrales's National Provider Identifier is 1154080125, issued on Dec 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglas, AZ. The record was last updated on Sep 17, 2025.