LISA MARIE CORALLO

GRANTS PASS, OR
NPI1659523769
Former NameLISA MARIE CORALLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
106H00000X Marriage & Family Therapist
Enumeration Date2008-10-21
Last Update Date2019-10-08
Business Address
LISA MARIE CORALLO MA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
Mailing Address
LISA MARIE CORALLO MA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373