Cornwell, Carissa

Cornwell, Carissa is an individual health care provider with primary practice located at 695 S State St , Elgin IL 60123-7673. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Cornwell, Carissa can be contacted via phone (847) 931-6200.

Contact Information

Primary practice address
695 S State St Elgin IL 60123-7673
Phone: (847) 931-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1518446293
LBN Legal business name Cornwell, Carissa
Credentials MS, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - about 8 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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