Individual
MR. DAVID JOSEPH CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, SUDP
Contact information
Practice address
31627 4TH AVE S, FEDERAL WAY, WA 98003-5234
(206) 339-4909
Mailing address
PO BOX 23115, FEDERAL WAY, WA 98093-0115
(206) 339-4909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60923282
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61105100
WA
101YM0800X
Mental Health Counselor
Primary
LH00010656
WA
Other
Enumeration date
03/12/2007
Last updated
05/26/2021
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