Individual
DAWN D CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 106, OMAHA, NE 68105-2942
(402) 813-1147
(402) 933-7786
Mailing address
2702 N 36TH CT, OMAHA, NE 68111-3526
(402) 813-1147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
07/02/2020
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