Individual provider · Type 1 NPI

Jenna Cornwell

Mental Health Counselor · St. Clair Shores, MI

NPI number 1174498521 Active

Practice location

29750 Harper Ave
St. Clair Shores, MI 48082-2607

Call (586) 777-3200 Map

Fax (586) 777-7855

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6451024641 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1174498521

Jenna Cornwell's National Provider Identifier is 1174498521, issued on Oct 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Clair Shores, MI. The record was last updated on Oct 7, 2025.