Individual
COREY ALLEN STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMSW
Contact information
Practice address
426 E 15TH ST, HOUSTON, TX 77008-4513
(832) 930-3013
Mailing address
426 E 15TH ST, HOUSTON, TX 77008-4513
(832) 930-3013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
113383
TX
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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