| Cornwall Counseling Clinic Pllc | |
|
977 Lakeview Pkwy Ste 110 Vernon Hills IL 60061-1444 | |
| (847) 915-2025 | |
| (847) 915-2025 |
| Full Name | Cornwall Counseling Clinic Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 977 Lakeview Pkwy Ste 110, Vernon Hills, Illinois |
| Authorized Official Name and Position | Richard Ward Cornwall (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8479152025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornwall Counseling Clinic Pllc 977 Lakeview Pkwy Ste 110 Vernon Hills IL 60061-1444 Ph: (847) 915-2025 | Cornwall Counseling Clinic Pllc 977 Lakeview Pkwy Ste 110 Vernon Hills IL 60061-1444 Ph: (847) 915-2025 |
| NPI Number | 1629947114 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 11/03/2025 |
| Certification Date | 11/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629947114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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