Individual
MICHAEL CORNWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 E FLAMINGO RD STE 207, LAS VEGAS, NV 89119-5191
(859) 321-4956
(702) 472-8635
Mailing address
2110 E FLAMINGO RD STE 207, LAS VEGAS, NV 89119-5191
(859) 321-4956
(702) 472-8635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP0225
NV
Other
Enumeration date
02/11/2011
Last updated
04/23/2024
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