Individual
DEBORAH CORNELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDP
Contact information
Practice address
315 OLD LANDING RD, MILLSBORO, DE 19966-1210
(302) 947-1920
Mailing address
1114 S DUPONT HWY STE 105, DOVER, DE 19901-4401
(302) 442-6194
(302) 442-6940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0958
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14399306
—
DE
Enumeration date
09/24/2019
Last updated
09/24/2019
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