Cornelius, Mark Walter

Cornelius, Mark Walter is an individual health care provider with primary practice located at 421 E Coeur Dalene Ave Suite 2, Coeur D Alene ID 83814-1704. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Cornelius, Mark Walter can be contacted via phone (208) 664-1606.

Contact Information

Primary practice address
421 E Coeur Dalene Ave Suite 2 Coeur D Alene ID 83814-1704
Phone: (208) 664-1606
Fax: (208) 664-9685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCPC 291 Idaho

Profile Details

NPI number 1649324203
LBN Legal business name Cornelius, Mark Walter
Credentials M.S., M.A. LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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