Individual provider · Type 1 NPI

Karen D. Kornelsen, LPC INTERN

Mental Health Counselor · Richardson, TX

NPI number 1386110278 Active

Practice location

2150 Lakeside Blvd Ste 100
Richardson, TX 75082-4302

Call (888) 725-4642 Map

Mailing address

7500 W Camp Wisdom Rd
Dallas, TX 75236-5629

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X80417 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1386110278

Karen D. Kornelsen, LPC INTERN's National Provider Identifier is 1386110278, issued on Oct 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richardson, TX. The record was last updated on Oct 17, 2018.