JOSE CORNEJO

MISSION, KS
NPI1598509655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KS  4175)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
JOSE CORNEJO
6950 SQUIBB RD STE 430
MISSION, KS 66202-3258
Phone number: 913-222-8225
Mailing Address
JOSE CORNEJO
3312 CLINTON PKWY
LAWRENCE, KS 66047-3624
Phone number: 785-841-4138
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