Individual provider · Type 1 NPI

Stacy Lee Cornett

Mental Health Counselor · Seattle, WA

NPI number 1972076453 Active

Practice location

1600 E Olive St
Seattle, WA 98122-2735

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972076453

Stacy Lee Cornett's National Provider Identifier is 1972076453, issued on Jan 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jan 7, 2019.