Individual
MRS. KASHON CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2435 DRUSILLA LN, BATON ROUGE, LA 70809
(225) 364-2090
(225) 208-1301
Mailing address
PO BOX 45703, BATON ROUGE, LA 70895-4703
(225) 636-1708
(225) 930-4944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4169
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600746771
—
LA
Enumeration date
04/28/2010
Last updated
06/06/2018
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