Individual provider · Type 1 NPI

Antonette Cornelison

Addiction (Substance Use Disorder) Counselor · North Hollywood, CA

NPI number 1740763382 Active

Practice location

11027 Burbank Blvd
North Hollywood, CA 91601-2431

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1740763382

Antonette Cornelison's National Provider Identifier is 1740763382, issued on Sep 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Hollywood, CA. The record was last updated on Sep 10, 2018.