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Lisa Marie Corallo, MA
Mental Health Counselor in Grants Pass, Oregon
NPI 1659523769

Lisa Marie Corallo is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Lisa Marie Corallo practices in Grants Pass, OR and has the professional credentials of MA. The NPI Number for Lisa Marie Corallo is 1659523769 and holds a License No. (Oregon).

The current practice location address for Lisa Marie Corallo is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373 and via fax at 541-884-2338. You can also correspond with Lisa Marie Corallo through the mailing address at 1215 SW G ST, GRANTS PASS, OR - 97526-2544 (mailing address contact number: 541-476-2373).

Location: 1215 Sw G St, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659523769
Provider Name
Lisa Marie Corallo
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1215 Sw G St, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
541-884-2338
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
541-884-2338
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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