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Terrell Kornegay
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1689981128

Terrell Kornegay is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Terrell Kornegay practices in Long Beach, CA. The NPI Number for Terrell Kornegay is 1689981128 and holds a License No. (California).

The current practice location address for Terrell Kornegay is 337 Atlantic Ave, Long Beach, CA and can be reached out via phone at 310-997-6397.

Location: 337 Atlantic Ave, Long Beach, CA, 90802-2554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689981128
Provider Name
Terrell Kornegay
Credential
Provider Entity Type
Individual
Gender
Male
Address
337 Atlantic Ave, Long Beach, CA, 90802-2554
Phone Number
310-997-6397
Fax Number
Provider Enumeration Date
09/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
337 Atlantic Ave
City
Long Beach
State
California
Zip
90802-2554
Phone Number
310-997-6397
Fax Number
person
Provider Business Mailing Address Details
Address
337 Atlantic Ave
City
Long Beach
State
California
Zip
90802-2554
Phone Number
310-997-6397
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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