Individual
MARK JAMES CORNMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3106 RIDGE RD, HARTWELL, GA 30643-4121
(706) 371-6196
Mailing address
3106 RIDGE RD, HARTWELL, GA 30643-4121
(706) 371-6196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12317350
ATENA
GA
Enumeration date
12/11/2011
Last updated
12/11/2011
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