Corley, James

Corley, James is an individual health care provider with primary practice located at 2049 Skyline Dr , Lemon Grove CA 91945-4221. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Corley, James can be contacted via phone (619) 469-4325.

Contact Information

Primary practice address
2049 Skyline Dr Lemon Grove CA 91945-4221
Phone: (619) 469-4325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1265550933
LBN Legal business name Corley, James
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 10th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265550933 NPPES
Delaware MEDICAID 103TP2701X

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