Individual
MR. EDWARD F CORNELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 787-2207
Mailing address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 787-2207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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