Individual
JAMES CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2013 1ST ST, BAKER CITY, OR 97814-3339
(541) 523-3841
(541) 523-3841
Mailing address
2013 1ST ST, BAKER CITY, OR 97814-3339
(541) 523-3841
(541) 523-3841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-P-15
OR
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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