Healthcare Provider Details

I. General information

NPI: 1437408697
Provider Name (Legal Business Name): JOSEPH E. CORBIN LPC, LCAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2012
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 LIVINGSTON CHAPEL RD
DELCO NC
28436-9669
US

IV. Provider business mailing address

711 LIVINGSTON CHAPEL RD
DELCO NC
28436-9669
US

V. Phone/Fax

Practice location:
  • Phone: 910-742-9175
  • Fax:
Mailing address:
  • Phone: 910-742-9175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number3243
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9534
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9534
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: