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Individual

DANIEL SCOTT CORNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3215 ECHO HILLS DR, LEWISTON, ID 83501-8603
(208) 413-0087
Mailing address
3704 16TH ST E, LEWISTON, ID 83501-5902
(208) 413-0087

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7514
ID

Other

Enumeration date
11/12/2019
Last updated
05/06/2026
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