Individual
COREY YAMAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BASELINE RD., GRAND ISLAND, NY 14072
(716) 775-7271
Mailing address
PO BOX 31, GRAND ISLAND, NY 14072-0031
(716) 775-7271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/28/2016
Last updated
05/02/2025
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