Individual
RICHARD GORDON CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
23 E CHOCTAW AVE STE 3, MCALESTER, OK 74501-5098
(918) 420-5006
Mailing address
23 E CHOCTAW AVE STE 3, MCALESTER, OK 74501-5098
(918) 420-5006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4091
OK
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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