Cornelius, Amanda Virginia

Cornelius, Amanda Virginia is an individual health care provider with primary practice located at 1405 Silver Lake Rd Nw , New Brighton MN 55112-9301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cornelius, Amanda Virginia can be contacted via phone (651) 895-3624.

Contact Information

Primary practice address
1405 Silver Lake Rd Nw New Brighton MN 55112-9301
Phone: (651) 895-3624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00765 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1942593561
LBN Legal business name Cornelius, Amanda Virginia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2011
Last updated May 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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