Individual provider · Type 1 NPI
Theresa Cornelious
Mental Health Counselor · Jacksonville, FL
NPI number
1093531394
Active
Practice location
1811 Montward Preserve Way
Jacksonville, FL 32218-4758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1093531394
Theresa Cornelious's National Provider Identifier is 1093531394, issued on Dec 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 2, 2024.