Individual provider · Type 1 NPI

Natalie Cornelius, 15990132 CSAC

Addiction (Substance Use Disorder) Counselor · Gresham, WI

NPI number 1962867085 Active

Practice location

N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602

Mailing address

N7988 Huntington Rd
Gresham, WI 54128

Other practice locations

  • 2979 Allied St, Green Bay, WI 54304-5567 · (920) 337-6740

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15990-132 (WI)

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

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About NPI 1962867085

Natalie Cornelius, 15990132 CSAC's National Provider Identifier is 1962867085, issued on Dec 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, WI. The record was last updated on Mar 17, 2018.