Individual
DR. CORNELIA WENZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
500 LANIER AVE W STE 103B, FAYETTEVILLE, GA 30214-7640
(404) 800-4002
(404) 393-5698
Mailing address
2600 MAIN ST UNIT 120, PORTERDALE, GA 30070-3305
(404) 618-4843
(470) 441-9183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7527
FL
101YP2500X
Professional Counselor
Primary
010382
GA
Other
Enumeration date
02/07/2007
Last updated
05/15/2024
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