Michael Cornwall
NPI #1114313350 in Benicia, California
Provider Information
- NPI Number
- 1114313350
- Entity Type
- Individual
- Name
- Michael Cornwall
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Apr 14, 2015
- Last Updated
- Apr 14, 2015
Practice Location
- Address
- 121 W J ST
- City
- Benicia
- State
- California
- ZIP Code
- 94510-3165
- Phone
- (707) 853-6808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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