Individual
LINDA SMITH CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC, CSAC, ATR
Contact information
Practice address
1 DRAPER LANE, NEWPORT NEWS, VA 23606-2808
(757) 873-1812
(757) 873-1812
Mailing address
1 DRAPER LANE, NEWPORT NEWS, VA 23606-2808
(757) 873-1812
(757) 873-1812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000748
VA
101YP2500X
Professional Counselor
Primary
0701002042
VA
106H00000X
Marriage & Family Therapist
0717000544
VA
Other
Enumeration date
07/28/2006
Last updated
12/09/2008
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