Individual provider · Type 1 NPI

Mark Walter Cornelius, M.S., M.A. LCPC

Counselor · Coeur D Alene, ID

NPI number 1649324203 Active

Practice location

421 E Coeur Dalene Ave, Suite 2
Coeur D Alene, ID 83814-1704

Call (208) 664-1606 Map

Fax (208) 664-9685

Mailing address

PO Box 1677
Coeur D Alene, ID 83816-1677

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLCPC 291 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649324203

Mark Walter Cornelius, M.S., M.A. LCPC's National Provider Identifier is 1649324203, issued on Jan 22, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.