Individual
KATHERINE MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1515 W PARKWAY LN, LAMAR, CO 81052-3678
(719) 688-7570
Mailing address
1515 W PARKWAY LN, LAMAR, CO 81052-3678
(719) 688-7570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC0997394
CO
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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