Individual provider · Type 1 NPI
Coretha Marie Claiborn, CSAC, MAC, SAP, LSATP
Addiction (Substance Use Disorder) Counselor · Petersburg, VA
NPI number
1942479381
Active
Practice location
700 S. Sycamore Street, Suite 6
Petersburg, VA 23234
Mailing address
7053 Omalley Drive
Richmond, VA 23234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710101777 (VA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0718000231 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1942479381
Coretha Marie Claiborn, CSAC, MAC, SAP, LSATP's National Provider Identifier is 1942479381, issued on Feb 29, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petersburg, VA. The record was last updated on Mar 17, 2010.