Organization
EVOLVE CHILD AND FAMILY THERAPY
Active
Other names
Lea Reinbolt Cornell
Organization subpart
No
Provider details
NPI number
Authorized official
LEA R CORNELL MA, LPC-C (CHILD AND FAMILY THERAPIST)
(720) 600-8733
Entity
Organization
Contact information
Practice address
2314 JUDSON ST, LONGMONT, CO 80501-1015
(720) 737-7886
Mailing address
2314 JUDSON ST, LONGMONT, CO 80501-1015
(720) 737-7886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCC.0013939
CO
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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