Individual
OLIVIA MARIE CORALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS-A, LCMHC-A
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16814
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/05/2021
Last updated
07/06/2023
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