Individual
AILYN CORCHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1353 N WESTMORELAND RD, DALLAS, TX 75211-1655
(214) 743-1200
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38408
TX
Other
Enumeration date
11/09/2020
Last updated
02/03/2022
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