Individual provider · Type 1 NPI
Jason Cornelius, MED., CM-A
Mental Health Counselor · Clinton, OK
NPI number
1881701563
Active
Practice location
90 N 31st
Clinton, OK 73601
Mailing address
132 Mckenzie Dr
Weatherford, OK 73096-4327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1881701563
Jason Cornelius, MED., CM-A's National Provider Identifier is 1881701563, issued on Aug 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton, OK. The record was last updated on Jul 8, 2007.