Individual
MISS CHARLES IAN CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
115 E 23RD ST, 12TH FLOOR, NEW YORK, NY 10010-4508
(212) 505-6767
(212) 529-5600
Mailing address
220 PELHAM RD, APT 4R, NEW ROCHELLE, NY 10805-2537
(917) 701-6047
(212) 529-5600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002282
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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