| Doctor Name: | KAY R CORREIRA |
| NPI Number: | 1003931205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LMHC NCC |
| License Number: | 0701002339 |
| Business Practice Address: | 6910 N Main Street Granger, IN - 46530 |
| Business Phone Number: | 5742866172 |
| Business Fax Number: | 5742738743 |
| Mailing Address: | 6910 N Main Street, Unit 12 Bldg 12 Suite H GRANGER |
| State: | IN |
| Postal Code: | 46530 |
| Phone Number: | 5742866172 |
| Fax Number: | 5742738743 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701002339 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |