Doctor Name: | COREY COTTON |
NPI Number: | 1114226057 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | C 0701179 |
Business Practice Address: | 725 Boardman Canfield Rd Ste D Boardman, OH - 445124381 |
Business Phone Number: | 3307839690 |
Business Fax Number: | 3307839693 |
Mailing Address: | 725 Boardman Canfield Rd Ste D, BOARDMAN |
State: | OH |
Postal Code: | 445124381 |
Phone Number: | 3307839690 |
Fax Number: | 3307839693 |
NPI Enumeration Date: | 03/17/2011 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C 0701179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |