Cornell, David Joseph
Cornell, David Joseph is an sole proprietor health care provider with primary practice located at 31627 4Th Ave S , Federal Way WA 98003-5234. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cornell, David Joseph can be contacted via phone (206) 339-4909.Contact Information
Primary practice address
31627 4Th Ave S
Federal Way WA 98003-5234
Phone: (206) 339-4909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60923282 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP61105100 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00010656 | Washington |
Profile Details
| NPI number | 1952433039 |
|---|---|
| LBN Legal business name | Cornell, David Joseph |
| Credentials | LMHC, SUDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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