Individual
DR. GREGORY R CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
418 WINDWARD WAY, KALISPELL, MT 59901-2680
(406) 752-6100
(406) 755-3720
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 751-8335
(406) 755-3720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
707
MT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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