Individual
DR. JEFFREY H CORNELIUS-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-1445
(417) 522-9990
Mailing address
5913 S PARKHAVEN LN, SPRINGFIELD, MO 65810-1971
(417) 522-9990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006003158
MO
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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