Provider Demographics
NPI:1316104565
Name:CORLEY, MARY E (MED, LMHC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:E
Last Name:CORLEY
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E 44TH AVE
Mailing Address - Street 2:K-J COUNSELING RESOURCES, INC.
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-5822
Mailing Address - Country:US
Mailing Address - Phone:509-582-3766
Mailing Address - Fax:
Practice Address - Street 1:506 E 44TH AVE
Practice Address - Street 2:K-J COUNSELING RESOURCES, INC.
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-5822
Practice Address - Country:US
Practice Address - Phone:509-582-3766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor