Individual
DEANNA JEANE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
16607 BLANCO RD STE 1107, SAN ANTONIO, TX 78232-1961
(210) 816-4149
Mailing address
549 SADDLE VIS, CIBOLO, TX 78108-3658
(254) 760-3357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
93859
TX
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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