Provider Demographics
NPI:1194057364
Name:CORNELIA, FRANKLIN W (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:W
Last Name:CORNELIA
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 EAST 11TH AVE
Mailing Address - Street 2:UNIT 3202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220
Mailing Address - Country:US
Mailing Address - Phone:720-454-5740
Mailing Address - Fax:
Practice Address - Street 1:8001 EAST 11TH AVE
Practice Address - Street 2:UNIT 3202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:720-454-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1417101YM0800X
CO6176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health