Mark Joseph Cornell
Counselor, Addiction (Substance Use Disorder) in Sacramento, CA. Individual provider (NPI-1).
NPI number1023947199
StatusActive
Last updated in NPPESMay 15, 2026
Details
- NPI
- 1023947199
- Entity type
- Individual (NPI-1)
- Name
- Mark Joseph Cornell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2026
- Certification date
- May 15, 2026
- Last updated
- May 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1603430325 | CA | Yes |
Practice location
1500 Expo PkwySacramento, CA 95815-4227
Phone 916-469-4690
Mailing address
2512 Du Bois DrRoseville, CA 95661-3943
Phone 415-850-2131
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