| Cornell Counseling, Llc | |
|
900 Concourse Dr Ste E-227 Rapid City SD 57703-4762 | |
| (605) 549-5433 | |
| (605) 309-7919 |
| Full Name | Cornell Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 900 Concourse Dr Ste E-227, Rapid City, South Dakota |
| Authorized Official Name and Position | Rebecca Cornell-marsich (OWNER/THERAPIST) |
| Authorized Official Contact | 6055495433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Counseling, Llc Po Box 3774 Rapid City SD 57709-3774 Ph: (605) 549-5433 | Cornell Counseling, Llc 900 Concourse Dr Ste E-227 Rapid City SD 57703-4762 Ph: (605) 549-5433 |
| NPI Number | 1023763745 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/21/2022 |
| Medicare PECOS PAC ID | 4789037540 |
|---|---|
| Medicare Enrollment ID | O20240129000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023763745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca L Cornell-marsich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477168821 PECOS PAC ID: 5698128452 Enrollment ID: I20240129000223 |
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