Individual
AQUILA ROSE CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 SOUTH ST, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 541-5144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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