Individual
ANN CORBIN-FULCHIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC-II
Contact information
Practice address
8810 RIO SAN DIEGO DR STE 2121, SAN DIEGO, CA 92108-1698
(619) 400-5271
Mailing address
PO BOX 211813, CHULA VISTA, CA 91921-1813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A8486204
CA
1041C0700X
Clinical Social Worker
Primary
LCS 23046
CA
Other
Enumeration date
07/31/2006
Last updated
07/12/2007
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