Individual
CORY EDWARD CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15221 ST RD 772, PIKETON, OH 45661
(740) 493-4260
Mailing address
100 N MARKET ST APT 5, WAVERLY, OH 45690-1351
(740) 648-6019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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