Individual
PAIGE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 W NORTHERN AVE, PHOENIX, AZ 85021-4936
(602) 995-1767
Mailing address
2255 W NORTHERN AVE, PHOENIX, AZ 85021-4936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23308
AZ
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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