Individual
TRINA MICHELLE CORNELISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, NCC, LPC
Contact information
Practice address
2221 BULL ST, COLUMBIA, SC 29201-1901
(803) 447-5403
Mailing address
100 OLD FIELD CT, LEXINGTON, SC 29072-2797
(803) 447-5403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5451
SC
Other
Enumeration date
02/15/2011
Last updated
02/19/2018
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