Individual provider · Type 1 NPI

Melissa June Marie Cornell

Mental Health Counselor · Newport, OR

NPI number 1467889253 Active

Practice location

51 SW Lee St
Newport, OR 97365-3823

Call (541) 574-5960 Map

Fax (844) 760-0526

Mailing address

160 Susie Ct
Fort Bragg, CA 95437-5234

Other practice locations

  • 474 S Franklin St, Fort Bragg, CA 95437-4803 · (707) 961-0172

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467889253

Melissa June Marie Cornell's National Provider Identifier is 1467889253, issued on Oct 11, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport, OR. The record was last updated on Jul 23, 2021.