Coburn, Corvell

Coburn, Corvell is an sole proprietor health care provider with primary practice located at 2967A Highway 11 And 80 , Toomsuba MS 39364-9470. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Coburn, Corvell can be contacted via phone (662) 769-1024.

Contact Information

Primary practice address
2967A Highway 11 And 80 Toomsuba MS 39364-9470
Phone: (662) 769-1024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 906622 Mississippi
Behavioral Health & Social Service Providers / Clinical 1041C0700X C5981 Mississippi

Profile Details

NPI number 1124559232
LBN Legal business name Coburn, Corvell
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2017
Last updated Jun 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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