Individual
ALICE S CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
38 MAIN ST, NEWNAN, GA 30263-1032
(404) 916-5112
Mailing address
38 MAIN ST, NEWNAN, GA 30263-1032
(404) 916-5112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009943
GA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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