person
Ms. Marisa Gwaltney Cornell, BS
Mental Health Counselor in Mountain City, Tennessee
NPI 1063533826

Marisa Gwaltney Cornell is a Mental Health Counselor based in Gray, TN and is specialized in Mental Health. Marisa Gwaltney Cornell practices in Mountain City, TN and has the professional credentials of BS. The NPI Number for Marisa Gwaltney Cornell is 1063533826 and holds a License No. (Tennessee).

The current practice location address for Marisa Gwaltney Cornell is 318 Donnelly St, Mountain City, TN and can be reached out via phone at 423-727-2100 and via fax at 423-727-2110. You can also correspond with Marisa Gwaltney Cornell through the mailing address at PO BOX 9054, GRAY, TN - 37615-9054 (mailing address contact number: 423-467-3600).

Location: 318 Donnelly St, Mountain City, TN, 37615-9054
person
Provider Profile Details
NPI Number
1063533826
Provider Name
Marisa Gwaltney Cornell
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
318 Donnelly St, Mountain City, TN, 37615-9054
Phone Number
423-727-2100
Fax Number
423-727-2110
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
318 Donnelly St
City
State
Zip
37683-1510
Phone Number
423-727-2100
Fax Number
423-727-2110
person
Provider Business Mailing Address Details
Address
318 Donnelly St
City
State
Zip
37683-1510
Phone Number
423-727-2100
Fax Number
423-727-2110
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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