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Danille Raven Cornwell
Peer Specialist in Riverhead, New York
NPI 1013672187

Danille Raven Cornwell is a Peer Specialist based in Riverhead, NY. Danille Raven Cornwell practices in Riverhead, NY. The NPI Number for Danille Raven Cornwell is 1013672187 and holds a License No. (New York).

The current practice location address for Danille Raven Cornwell is 400 W Main St, Riverhead, NY and can be reached out via phone at 631-833-6581.

Location: 400 W Main St, Riverhead, NY, 11901-2813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013672187
Provider Name
Danille Raven Cornwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 W Main St, Riverhead, NY, 11901-2813
Phone Number
631-833-6581
Fax Number
Provider Enumeration Date
11/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W Main St
City
Riverhead
State
New York
Zip
11901-2813
Phone Number
631-833-6581
Fax Number
person
Provider Business Mailing Address Details
Address
400 W Main St
City
Riverhead
State
New York
Zip
11901-2813
Phone Number
631-833-6581
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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