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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP.CP.61105100 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60923282 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC.LH.00010656 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 Jul 29th, 2026 - about 3 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952433039 NPPES
Washington MEDICAID 2015723

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