# CORNELIUS COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellspring Counselors
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609114883
- **Authorized official:** AMANDA V CORNELIUS LPCC (OWNER)
- **Authorized official phone:** (651) 895-3624

## Contact information

- **Practice address:** 1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
- **Practice address phone:** (651) 895-3624
- **Mailing address:** 1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
- **Mailing address phone:** (651) 895-3624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | CC00430 | MN | Yes |
| 101YP2500X | Professional Counselor | CC00430 | MN | — |
| 102L00000X | Psychoanalyst | CC0430 | MN | — |
| 106H00000X | Marriage & Family Therapist | CC0430 | MN | — |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 01/23/2013