Individual provider · Type 1 NPI

Diane Margaret Van Cornewal, LCSW LISAC

Mental Health Counselor · Flagstaff, AZ

NPI number 1821437500 Active

Practice location

1215 N Beaver St, Flagstaff Medical Center
Flagstaff, AZ 86001-3126

Call (928) 213-6415 Map

Fax (928) 213-6409

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-10581 (AZ)
Mental Health Counselor Primary 101YM0800XLCSW-10760 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1821437500

Diane Margaret Van Cornewal, LCSW LISAC's National Provider Identifier is 1821437500, issued on Jun 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Flagstaff, AZ. The record was last updated on Jun 17, 2013.