LACEY CORNELIUSEN, LICSW

Counselor - Mental Health

Active Individual
NPI: 1871819979

Practice Address

6301 19TH AVE NW
Minot, ND 58703

Phone: (701) 852-3628

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -
Social Worker - Clinical 1041C0700X No 4558 (ND)

Frequently Asked Questions

NPI 1871819979 is the National Provider Identifier for LACEY CORNELIUSEN, LICSW, a Counselor - Mental Health provider located in Minot, ND. This NPI was enumerated on April 14, 2010.
LACEY CORNELIUSEN, LICSW practices at 6301 19TH AVE NW, Minot, ND 58703.

Quick Facts

NPI
1871819979
Type
Individual
Enumerated
Apr 14, 2010
Last Updated
Dec 31, 2013

Nearby Providers