Individual
LETISHA DANIELLE CORZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, THW, CRM
Contact information
Practice address
1931 MISSION AVE, KLAMATH FALLS, OR 97601-2726
(541) 882-4895
Mailing address
6442 ALVA AVE, KLAMATH FALLS, OR 97603-5206
(541) 591-7889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-06-11151
OR
Other
Enumeration date
05/28/2025
Last updated
06/02/2025
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