Individual
AUDREY IRENE CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 L ST STE C, LINCOLN, NE 68508-2581
(402) 489-9792
Mailing address
911 E RD, PALMYRA, NE 68418-4037
(402) 405-1171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2170
NE
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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