Individual
BRIAN JOSEPH CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC, LMSW
Contact information
Practice address
165 MAIN ST STE A, CORTLAND, NY 13045
(607) 753-0234
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3049
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106307
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
17044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
05/08/2008
Last updated
06/18/2019
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