Corley, Jacqueline Cecilia

Corley, Jacqueline Cecilia is an individual health care provider with primary practice located at 31772 Casino Dr Ste B , Lake Elsinore CA 92530-4502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Corley, Jacqueline Cecilia can be contacted via phone (951) 674-9400.

Contact Information

Primary practice address
31772 Casino Dr Ste B Lake Elsinore CA 92530-4502
Phone: (951) 674-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891360434
LBN Legal business name Corley, Jacqueline Cecilia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 4 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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