Individual provider · Type 1 NPI

Justin Ross Cornett, BA, LADAC II

Addiction (Substance Use Disorder) Counselor · Knoxville, TN

NPI number 1912486499 Active

Practice location

201 W Springdale Ave
Knoxville, TN 37917-5158

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1535 (TN)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1912486499

Justin Ross Cornett, BA, LADAC II's National Provider Identifier is 1912486499, issued on Aug 7, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Knoxville, TN. The record was last updated on Mar 11, 2024.