Individual
MR. CORY MIGUEL CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
7534 CHICO WAY NW, BREMERTON, WA 98312-1040
(360) 649-1621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
12/03/2008
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