Search › Mississippi › 1041C0700X
Corvell Coburn, LCSW, RN
NPI 1124559232 · on the registry since 2017 · sole proprietor
Practice
- Address
- 262 King Rd
Hattiesburg, MS 39402 - Phone
- (662) 769-1024
- Organisation at this address
- New Leaf Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 163WP0808X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi