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Mr. Darryl Cornwell, MSA
Mental Health Counselor in Detroit, Michigan
NPI 1205052438

Darryl Cornwell is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Darryl Cornwell practices in Detroit, MI and has the professional credentials of MSA. The NPI Number for Darryl Cornwell is 1205052438 and holds a License No. (Michigan).

The current practice location address for Darryl Cornwell is 11457 Shoemaker, Detroit, MI and can be reached out via phone at 313-921-4700.

Location: 11457 Shoemaker, Detroit, MI, 48213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205052438
Provider Name
Darryl Cornwell
Credential
MSA
Provider Entity Type
Individual
Gender
Male
Address
11457 Shoemaker, Detroit, MI, 48213
Phone Number
313-921-4700
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401004914 01 MI MASTERS
institution
Provider Business Practice Location Address Details
Address
11457 Shoemaker
City
Detroit
State
Michigan
Zip
48213
Phone Number
313-921-4700
Fax Number
person
Provider Business Mailing Address Details
Address
11457 Shoemaker
City
Detroit
State
Michigan
Zip
48213
Phone Number
313-921-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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