Individual
CORRENA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
200 MUIR RD, TIBURON BUILDING, MARTINEZ, CA 94553-4614
(925) 372-4994
(925) 372-1302
Mailing address
200 MUIR RD, TIBURON BUILDING, MARTINEZ, CA 94553-4614
(925) 372-4994
(925) 372-1302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
51296
CA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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