person
Ms. Sandra Suzanna Cornejo
Addiction (Substance Use Disorder) Counselor in Cathedral City, California
NPI 1316069180

Sandra Suzanna Cornejo is an Addiction (Substance Use Disorder) Counselor based in Cathedral City, CA and is specialized in Addiction (Substance Use Disorder). Sandra Suzanna Cornejo practices in Cathedral City, CA. The NPI Number for Sandra Suzanna Cornejo is 1316069180 and holds a License No. CALPU1-224-101111S (California).

The current practice location address for Sandra Suzanna Cornejo is 68625 Perez Rd Ste 11A, Cathedral City, CA and can be reached out via phone at 760-773-6767 and via fax at 760-773-6760.

Location: 68625 Perez Rd Ste 11A, Cathedral City, CA, 92234-7250
person
Provider Profile Details
NPI Number
1316069180
Provider Name
Sandra Suzanna Cornejo
Credential
Provider Entity Type
Individual
Gender
Female
Address
68625 Perez Rd Ste 11A, Cathedral City, CA, 92234-7250
Phone Number
760-773-6767
Fax Number
760-773-6760
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
68625 Perez Rd Ste 11A
City
State
Zip
92234-7250
Phone Number
760-773-6767
Fax Number
760-773-6760
person
Provider Business Mailing Address Details
Address
68625 Perez Rd Ste 11A
City
State
Zip
92234-7250
Phone Number
760-773-6767
Fax Number
760-773-6760
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CALPU1-224-101111S (California)
Definition
Definition to come...
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