Individual
KELLY CHRISTINE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
1516 W LAKE ST STE 110, MINNEAPOLIS, MN 55408-2554
(612) 872-8218
Mailing address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(612) 872-8218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2517
MN
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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