Individual provider · Type 1 NPI

Lisa Marie Corallo, MA

Mental Health Counselor · Grants Pass, OR

NPI number 1659523769 Active

Practice location

1215 SW G St
Grants Pass, OR 97526-2544

Call (541) 476-2373 Map

Fax (541) 884-2338

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659523769

Lisa Marie Corallo, MA's National Provider Identifier is 1659523769, issued on Oct 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 8, 2019.