Individual
REBECCA J CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSATP, CSAC
Contact information
Practice address
5001 W VILLAGE GREEN DR STE 205, MIDLOTHIAN, VA 23112-4801
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101660
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000319
VA
101YM0800X
Mental Health Counselor
0718000319
VA
Other
Enumeration date
11/20/2018
Last updated
03/26/2024
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