| Lea Reinbolt Cornell | |
|
2314 Judson St Longmont CO 80501-1015 | |
| (720) 737-7886 | |
| Not Available |
| Full Name | Lea Reinbolt Cornell |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2314 Judson St, Longmont, Colorado |
| Authorized Official Name and Position | Lea R Cornell (CHILD AND FAMILY THERAPIST) |
| Authorized Official Contact | 7206008733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lea Reinbolt Cornell 2314 Judson St Longmont CO 80501-1015 Ph: (720) 737-7886 | Lea Reinbolt Cornell 2314 Judson St Longmont CO 80501-1015 Ph: (720) 737-7886 |
| NPI Number | 1316318892 |
|---|---|
| Provider Enumeration Date | 10/09/2015 |
| Last Update Date | 10/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316318892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPCC.0013939 (Colorado) | Primary |
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