Individual
CHRISTY MCCORNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MA
Contact information
Practice address
1217 RIVERSIDE AVE, FORT COLLINS, CO 80524-3218
(970) 494-4200
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012336
CO
Other
Enumeration date
02/09/2015
Last updated
03/03/2020
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