| Doctor Name: | MS. TINA ANN COREY |
| NPI Number: | 1346419959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W., L.C.S.W. |
| License Number: | |
| Business Practice Address: | 706 S I St Lakeview, OR - 976301622 |
| Business Phone Number: | 5419476021 |
| Business Fax Number: | |
| Mailing Address: | 706 S I St, LAKEVIEW |
| State: | OR |
| Postal Code: | 976301622 |
| Phone Number: | 5419476021 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |