Individual
MS. JILL ELIZABETH CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
872 S CAMINO DEL PUEBLO, VALLE DEL SOL, NEW MEXICO, BERNALILLO, NM 87004-5958
(505) 867-2383
(505) 867-7293
Mailing address
5621 TIMBERLINE AVE NW, ALBUQUERQUE, NM 87120-4659
(505) 463-6240
(505) 265-4174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2086
NM
Other
Enumeration date
06/23/2010
Last updated
04/10/2014
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