Individual
MARY ANN CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
1150 BYPASS N, LAWRENCEBURG, KY 40342-9453
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
246798
KY
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
267762
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
05/15/2019
Last updated
04/08/2026
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