Individual provider · Type 1 NPI

Martha Imelda Cornejo, MFTI

Mental Health Counselor · Berkeley, CA

NPI number 1619488657 Active

Practice location

1255 Allston Way
Berkeley, CA 94702-1833

Mailing address

165 Summertime Ln
Suisun City, CA 94585-1305

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619488657

Martha Imelda Cornejo, MFTI's National Provider Identifier is 1619488657, issued on Oct 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Dec 21, 2018.