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Individual

ANGEL DAVIS CORBIN

Active
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Individual

ANGEL DAVIS CORBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCAS

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3242
NC
101YM0800X
Mental Health Counselor
Primary
9733
NC
101YP2500X
Professional Counselor
9733
NC

Other

Enumeration date
10/10/2012
Last updated
08/23/2024
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