Individual provider · Type 1 NPI

Marisa Gwaltney Cornell, BS

Mental Health Counselor · Mountain City, TN

NPI number 1063533826 Active

Practice location

318 Donnelly St
Mountain City, TN 37683-1510

Fax (423) 727-2110

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063533826

Marisa Gwaltney Cornell, BS's National Provider Identifier is 1063533826, issued on Apr 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mountain City, TN. The record was last updated on Jul 8, 2007.