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Riley Cormack, MA,LPCC
Professional Counselor in San Diego, California
NPI 1992976880

Riley Cormack is a Professional Counselor based in San Diego, CA and is specialized in Professional. Riley Cormack practices in San Diego, CA and has the professional credentials of MA,LPCC. The NPI Number for Riley Cormack is 1992976880 and holds a License No. 18 (California).

The current practice location address for Riley Cormack is 2214 5Th Ave, San Diego, CA and can be reached out via phone at 619-512-3545.

Location: 2214 5Th Ave, San Diego, CA, 92101-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992976880
Provider Name
Riley Cormack
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Male
Address
2214 5Th Ave, San Diego, CA, 92101-2104
Phone Number
619-512-3545
Fax Number
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2214 5Th Ave
City
San Diego
State
California
Zip
92101-2104
Phone Number
619-512-3545
Fax Number
person
Provider Business Mailing Address Details
Address
2214 5Th Ave
City
San Diego
State
California
Zip
92101-2104
Phone Number
619-512-3545
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
18 (California)
Definition
Definition to come...
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