Organization · Type 2 NPI

Michael Cornwall PHD LLC

Professional Counselor · Las Vegas, NV

NPI number 1699531731 Active

Practice location

2110 E Flamingo Rd Ste 207
Las Vegas, NV 89119-5191

Call (859) 321-4956 Map

Fax (702) 472-8635

Mailing address

7115 Pico Rio Ct
Las Vegas, NV 89156-7154

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1699531731

Michael Cornwall PHD LLC's National Provider Identifier is 1699531731, issued on Feb 26, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 2, 2024.