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Derel Scott Cornelius
Mental Health Counselor in Yukon, Oklahoma
NPI 1407110240

Derel Scott Cornelius is a Mental Health Counselor based in Yukon, OK and is specialized in Mental Health. Derel Scott Cornelius practices in Yukon, OK. The NPI Number for Derel Scott Cornelius is 1407110240 and holds a License No. (Oklahoma).

The current practice location address for Derel Scott Cornelius is 428 S Mustang Rd, Yukon, OK and can be reached out via phone at 405-577-5477.

Location: 428 S Mustang Rd, Yukon, OK, 73099-6754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407110240
Provider Name
Derel Scott Cornelius
Credential
Provider Entity Type
Individual
Gender
Male
Address
428 S Mustang Rd, Yukon, OK, 73099-6754
Phone Number
405-577-5477
Fax Number
Provider Enumeration Date
06/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
428 S Mustang Rd
City
Yukon
State
Oklahoma
Zip
73099-6754
Phone Number
405-577-5477
Fax Number
person
Provider Business Mailing Address Details
Address
428 S Mustang Rd
City
Yukon
State
Oklahoma
Zip
73099-6754
Phone Number
405-577-5477
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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