Individual provider · Type 1 NPI

Edward F. Cornell Iii, M.DIV.

Mental Health Counselor · New Haven, CT

NPI number 1154699155 Active

Practice location

501 Lombard St
New Haven, CT 06513-2910

Call (203) 787-2207 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed

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About NPI 1154699155

Edward F. Cornell Iii, M.DIV.'s National Provider Identifier is 1154699155, issued on Dec 5, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Haven, CT. The record was last updated on Dec 5, 2011.