Individual
MS. KORI L CONNOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1605 S MAIN ST BLDG A, LAS CRUCES, NM 88005-3124
(575) 527-0614
(575) 541-4062
Mailing address
1605 S MAIN ST BLDG A, LAS CRUCES, NM 88005-3124
(575) 527-0614
(575) 541-4062
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T-CTL0196541
NM
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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