Individual
DR. NICHOLAS CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, LMFT
Contact information
Practice address
2105 S 54TH ST, SUITE #2, ROGERS, AR 72758-8169
(479) 268-4557
Mailing address
519 S COLLEGE ST, SILOAM SPRINGS, AR 72761-3503
(479) 283-1923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1211104
AR
106H00000X
Marriage & Family Therapist
M1212012
AR
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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