Individual
MARY CORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2621 W COLLEGE ST STE F, BOZEMAN, MT 59718-3982
(406) 200-9142
Mailing address
2621 W COLLEGE ST STE F, BOZEMAN, MT 59718-3982
(406) 200-9142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
42629
MT
Other
Enumeration date
07/14/2015
Last updated
02/21/2022
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