Jonathan Lee Cornell
NPI #1790246650 in Bloomfield, Kentucky
Provider Information
- NPI Number
- 1790246650
- Entity Type
- Individual
- Name
- Jonathan Lee Cornell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 25, 2019
- Last Updated
- Mar 25, 2019
Practice Location
- Address
- 262 CHAPLIN RD
- City
- Bloomfield
- State
- Kentucky
- ZIP Code
- 40008-7125
- Phone
- (646) 418-4043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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