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Individual

BRETT ALAN CORLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. ED, LPCC

Contact information

Practice address
171 ALPINE DR, SHELBYVILLE, KY 40065-8878
(502) 381-5617
Mailing address
171 ALPINE DR, SHELBYVILLE, KY 40065-8878
(502) 381-5617

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1724
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100403260
KY
Enumeration date
03/10/2016
Last updated
08/31/2021
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