Individual provider · Type 1 NPI

Lacy Cornelius

Mental Health Counselor · Yukon, OK

NPI number 1316263148 Active

Practice location

428 S Mustang Rd
Yukon, OK 73099-6754

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1316263148

Lacy Cornelius's National Provider Identifier is 1316263148, issued on Apr 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yukon, OK. The record was last updated on Apr 19, 2010.