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Tanja Dawn Cornelison, LPC
Counselor in Pocatello, Idaho
NPI 1215188479

Tanja Dawn Cornelison is a Counselor based in Chubbuck, ID. Tanja Dawn Cornelison practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Tanja Dawn Cornelison is 1215188479 and holds a License No. LPC-3452 (Idaho).

The current practice location address for Tanja Dawn Cornelison is 210 E Center St Ste B, Pocatello, ID and can be reached out via phone at 208-234-2600 and via fax at 208-234-2800.

Location: 210 E Center St Ste B, Pocatello, ID, 83202-3076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215188479
Provider Name
Tanja Dawn Cornelison
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
210 E Center St Ste B, Pocatello, ID, 83202-3076
Phone Number
208-234-2600
Fax Number
208-234-2800
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 E Center St Ste B
City
Pocatello
State
Idaho
Zip
83201-6326
Phone Number
208-234-2600
Fax Number
208-234-2800
person
Provider Business Mailing Address Details
Address
210 E Center St Ste B
City
Pocatello
State
Idaho
Zip
83201-6326
Phone Number
208-234-2600
Fax Number
208-234-2800
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC-3452 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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