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1407569569 NPI number — LEAH A CORNWELL PROF COUNSELOR ASSOC

NPI Number: 1407569569
Health Care Provider/Practitioner: LEAH A CORNWELL PROF COUNSELOR ASSOC

Information about “1407569569” NPI (LEAH A CORNWELL PROF COUNSELOR ASSOC) exists in 1407569569 in HTML format HTML  |  1407569569 in plain Text format TXT  |  1407569569 in PDF (Portable Document Format) PDF  |  1407569569 in an XML format XML  formats.

NPI Number : 1407569569 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407569569",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORNWELL",
    "FirstName": "LEAH",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PROF COUNSELOR ASSOC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CORNWELL",
    "OtherFirstName": "LEAH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, CRC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "6050 STATE ROUTE 179 STE 8",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEDONA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86351-7986",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-284-2690",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6050 STATE ROUTE 179 STE 8",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEDONA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86351-7986",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-284-2690",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2023",
    "LastUpdateDate": "12/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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