Jaime Dawn Cornelius

NPI #1417711292 in Tyler, Texas

Provider Information

NPI Number: 1417711292
Entity Type: Individual
Name: Jaime Dawn Cornelius
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 5755 EAGLES NEST BLVD STE 4
City: Tyler
State: Texas
ZIP Code: 75703-6236
Phone: (903) 533-1817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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