NPI Profile for SARA L CORRY in BEDFORD, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Professional |
101YP2500X |
| NPI # | 1497246888 |
|
| Status | Active | |
| Credentials | MA, LMHC, CCTP | |
| Entity | Individual | |
| Enumeration date | 05/22/2018 | |
| Last updated | 03/02/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SARA L CORRY
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