| Cornelius Christian Counseling | |
|
1768 Lejack Cir Forest VA 24551-1274 | |
| (717) 634-1090 | |
| Not Available |
| Full Name | Cornelius Christian Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1768 Lejack Cir, Forest, Virginia |
| Authorized Official Name and Position | Matthew Christopher Miller (LCMHC) |
| Authorized Official Contact | 7176341090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornelius Christian Counseling 14921 Stonegreen Ln Huntersville NC 28078-9784 Ph: (717) 634-1090 | Cornelius Christian Counseling 1768 Lejack Cir Forest VA 24551-1274 Ph: (717) 634-1090 |
| NPI Number | 1841937265 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841937265 | NPI | - | NPPES |
| 12735 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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