Van Cornewal, Diane Margaret

Van Cornewal, Diane Margaret is an sole proprietor health care provider with primary practice located at 1215 N Beaver St Flagstaff Medical Center, Flagstaff AZ 86001-3126. 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 / Mental Health is her primary health care specialty. Van Cornewal, Diane Margaret can be contacted via phone (928) 213-6415.

Contact Information

Primary practice address
1215 N Beaver St Flagstaff Medical Center Flagstaff AZ 86001-3126
Phone: (928) 213-6415
Fax: (928) 213-6409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10581 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW-10760 Arizona

Profile Details

NPI number 1821437500
LBN Legal business name Van Cornewal, Diane Margaret
Credentials LCSW LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2013
Last updated Jun 17th, 2013 - about 13 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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