Individual provider · Type 1 NPI

Jaime Dawn Cornelius

Professional Counselor · Tyler, TX

NPI number 1417711292 Active

Practice location

5755 Eagles Nest Blvd Ste 4
Tyler, TX 75703-6236

Call (903) 533-1817 Map

Mailing address

1607 Troup Hwy
Tyler, TX 75701-5799

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X88039 (TX)

Professional Counselor: Definition to come...

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About NPI 1417711292

Jaime Dawn Cornelius's National Provider Identifier is 1417711292, issued on Feb 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Feb 12, 2024.