Individual
CHANEL ANN OLEA CORVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 891-4435
Mailing address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 891-4435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
02/23/2024
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