Individual
COURTNEY MAE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2900 ROOSEVELT RD, KENOSHA, WI 53143-4642
(262) 997-9411
Mailing address
2900 ROOSEVELT RD, KENOSHA, WI 53143-4642
(262) 997-9411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10152-25
WI
Other
Enumeration date
04/26/2021
Last updated
03/04/2025
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