Individual provider · Type 1 NPI

Kenneth W. Cornelius, MA

Mental Health Counselor · Shreveport, LA

NPI number 1720453764 Active

Practice location

1513 Line Ave, Suite 135
Shreveport, LA 71101-4621

Call (318) 828-1455 Map

Specialties and licenses

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

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About NPI 1720453764

Kenneth W. Cornelius, MA's National Provider Identifier is 1720453764, issued on Dec 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on May 29, 2024.