Provider Demographics
NPI:1740615376
Name:CASE, CORINNE Z (MED, LMHC)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:Z
Last Name:CASE
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:MS
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:77 HOSPITAL AVENUE
Mailing Address - Street 2:NORTH ADAMS REGIONAL HOSPITAL
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:02147
Mailing Address - Country:US
Mailing Address - Phone:413-664-5567
Mailing Address - Fax:
Practice Address - Street 1:99 HOSPITAL AVENUE
Practice Address - Street 2:NORTH ADAMS REGIONAL HOSPITAL
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:02147
Practice Address - Country:US
Practice Address - Phone:413-664-5567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1501101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor