MEDICARE: CORC FAMILY COUNSELING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1639598238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORC FAMILY COUNSELING CORPORATION

Provider Business Mailing Address
First Line	:	224 W GRAHAM AVE
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92530-3740
Country	:	US
Telephone Number	:	951-318-1351
Fax Number	:	951-318-1351

Provider Business Practice Location Address
First Line	:	27851 BRADLEY ROAD
Second Line	:	155
City	:	SUN CITY
State	:	CA
Zip	:	92586-2244
Country	:	US
Telephone Number	:	951-318-1351
Fax Number	:	866-340-6736

Authorized Official
Title or Position	:	OWNER
Name	:	SHARON FERREIRO
Credential	:	LMFT
Telephone Number	:	951-318-1351

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	04/10/2014

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Directions to “CORC FAMILY COUNSELING CORPORATION ” Practice Location

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