Provider Demographics
NPI:1982078192
Name:MARRONE, KORIE JARAY (MED, LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:KORIE
Middle Name:JARAY
Last Name:MARRONE
Suffix:
Gender:F
Credentials:MED, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 ELYSIAN FIELDS AVE
Mailing Address - Street 2:301-A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-4245
Mailing Address - Country:US
Mailing Address - Phone:504-265-0996
Mailing Address - Fax:504-265-0996
Practice Address - Street 1:6305 ELYSIAN FIELDS AVE
Practice Address - Street 2:301-A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-4245
Practice Address - Country:US
Practice Address - Phone:504-265-0996
Practice Address - Fax:504-265-0996
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3172101YM0800X
LA1060106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist