Claiborn, Coretha Marie

Claiborn, Coretha Marie is an sole proprietor health care provider with primary practice located at 700 S. Sycamore Street Suite 6, Petersburg VA 23234. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Claiborn, Coretha Marie can be contacted via phone (804) 855-8625.

Contact Information

Primary practice address
700 S. Sycamore Street Suite 6 Petersburg VA 23234
Phone: (804) 855-8625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710101777 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000231 Virginia

Profile Details

NPI number 1942479381
LBN Legal business name Claiborn, Coretha Marie
Credentials CSAC,MAC,SAP,LSATP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2008
Last updated Mar 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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