Provider Demographics
NPI:1538542352
Name:CORC FAMILY COUNSELING CORPORATION
Entity type:Organization
Organization Name:CORC FAMILY COUNSELING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-318-1351
Mailing Address - Street 1:252 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-4012
Mailing Address - Country:US
Mailing Address - Phone:951-318-1351
Mailing Address - Fax:866-288-5478
Practice Address - Street 1:252 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4012
Practice Address - Country:US
Practice Address - Phone:951-318-1351
Practice Address - Fax:866-288-5478
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORC FAMILY COUNSELING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-30
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty