Individual
ORITA DANIELLE MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.DIV.
Contact information
Practice address
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101-3006
(336) 713-9727
(336) 713-9619
Mailing address
PO BOX 571097, WINSTON SALEM, NC 27157-1097
(336) 716-0855
(336) 716-0822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9570
NC
101YP2500X
Professional Counselor
A9570
NC
Other
Enumeration date
10/29/2012
Last updated
08/05/2015
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