Individual
MS. MARTHA ALICIA CORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, LPC
Contact information
Practice address
1955 W GRANT RD STE F, TUCSON, AZ 85745-1147
(520) 462-7750
Mailing address
1931 W WAVERLY ST, TUCSON, AZ 85745-1957
(520) 981-3711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC18413
AZ
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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