person
Diane Margaret Van Cornewal, LCSWLISAC
Mental Health Counselor in Flagstaff, Arizona
NPI 1821437500

Diane Margaret Van Cornewal is a Mental Health Counselor based in Flagstaff, AZ and is specialized in Mental Health. Diane Margaret Van Cornewal practices in Flagstaff, AZ and has the professional credentials of LCSWLISAC. The NPI Number for Diane Margaret Van Cornewal is 1821437500 and holds a License No. LISAC-10581 (Arizona).

The current practice location address for Diane Margaret Van Cornewal is 1215 N Beaver St, Flagstaff, AZ and can be reached out via phone at 928-213-6415 and via fax at 928-213-6409.

Location: 1215 N Beaver St, Flagstaff, AZ, 86001-3126
person
Provider Profile Details
NPI Number
1821437500
Provider Name
Diane Margaret Van Cornewal
Credential
LCSWLISAC
Provider Entity Type
Individual
Gender
Female
Address
1215 N Beaver St, Flagstaff, AZ, 86001-3126
Phone Number
928-213-6415
Fax Number
928-213-6409
Provider Enumeration Date
06/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 N Beaver St
City
State
Zip
86001-3126
Phone Number
928-213-6415
Fax Number
928-213-6409
person
Provider Business Mailing Address Details
Address
1215 N Beaver St
City
State
Zip
86001-3126
Phone Number
928-213-6415
Fax Number
928-213-6409
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCSW-10760 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LISAC-10581 (Arizona)
Definition
Definition to come...
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