Amanda Virginia Cornelius, LPC Valid NPI
Individual provider · Mental Health Counselor · New Brighton, MN
- NPI
- 1942593561
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 00765 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-05-17
- Last updated
- 2011-05-17
Practice location
1405 Silver Lake Rd Nw
New Brighton, MN 55112-9301
(651) 895-3624