Cornell, Rebecca J

Cornell, Rebecca J is an sole proprietor health care provider with primary practice located at 5001 W Village Green Dr Ste 205 , Midlothian VA 23112-4801. She 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Cornell, Rebecca J can be contacted via phone (866) 934-7450.

Contact Information

Primary practice address
5001 W Village Green Dr Ste 205 Midlothian VA 23112-4801
Phone: (866) 934-7450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710101660 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0718000319 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000319 Virginia

Profile Details

NPI number 1073082962
LBN Legal business name Cornell, Rebecca J
Credentials LSATP, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2018
Last updated Mar 26th, 2024 - about 2 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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