Provider Demographics
NPI:1477222198
Name:CORRIERI, ALBERT JR
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:CORRIERI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7127 HOLLISTER AVE STE 25A
Mailing Address - Street 2:BOX 202
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2857
Mailing Address - Country:US
Mailing Address - Phone:805-214-4354
Mailing Address - Fax:
Practice Address - Street 1:629 STATE ST STE 249
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7072
Practice Address - Country:US
Practice Address - Phone:805-214-4354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)