Corey Patrick Pavelka, LCSW

NPI #1225389901 in Granbury, Texas

Provider Information

NPI Number: 1225389901
Entity Type: Individual
Name: Corey Patrick Pavelka, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 21, 2012
Last Updated: May 27, 2016

Practice Location

Address: 2111 W HIGHWAY 377
City: Granbury
State: Texas
ZIP Code: 76048-5627
Phone: (817) 573-6002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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