Individual provider · Type 1 NPI

Patricia Cornelious

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1316596323 Active

Practice location

6005 Yolanda Ave
Tarzana, CA 91356-1421

Call (818) 996-1051 Map

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1451551221 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316596323

Patricia Cornelious's National Provider Identifier is 1316596323, issued on Sep 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Feb 2, 2022.