Individual
YOLANDA LOUISE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
2010 AL LIPSCOMB WAY, DALLAS, TX 75215-2773
(972) 971-2142
Mailing address
2010 AL LIPSCOMB WAY, DALLAS, TX 75215-2773
(972) 971-2142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
54569
TX
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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