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Individual

MR. DAVID SCOTT CORSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4422 NE DEVILS LAKE BLVD, SUITE 2, LINCOLN CITY, OR 97367-5000
(541) 265-4196
(541) 994-1882
Mailing address
1916 NE 70TH ST, LINCOLN CITY, OR 97367-9419
(541) 996-8129

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-09-09
OR
101YM0800X
Mental Health Counselor
Primary
C3323
OR
101YP2500X
Professional Counselor
C3323
OR

Other

Enumeration date
06/18/2012
Last updated
01/19/2017
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