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NPI Code Detail

MEDICARE: CHELSEA LYNN CORLEY

MEDICARE: CHELSEA LYNN CORLEY
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor0717001898VA
3101YP2500XProfessional Counselor
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467193250
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LYNN CORLEY
Provider Business Mailing Address
First Line : 2708 ANTHONY PL
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-2406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2708 ANTHONY PL
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-2406
Country : US
Telephone Number : 571-250-7486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 08/10/2024

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Directions to “ CHELSEA LYNN CORLEY ” Practice Location

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