Individual
SEAN M CORNWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 W LIBERTY ST STE 226C, LANCASTER, PA 17603-2791
(717) 723-9729
Mailing address
2502 HELENA RD, LANCASTER, PA 17603-4130
(717) 823-7674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MF001493
PA
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
MF001493
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104121034-0004
—
PA
Enumeration date
05/30/2020
Last updated
02/18/2025
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