Christy McCornack, LPC, MA
Counselor, Professional in Fort Collins, CO. Individual provider (NPI-1).
NPI number1629469986
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1629469986
- Entity type
- Individual (NPI-1)
- Name
- Christy McCornack
- Credential
- LPC, MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2015
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC.0012336 | CO | Yes |
Practice location
1217 Riverside AveFort Collins, CO 80524-3218
Phone 970-494-4200
Mailing address
4856 Innovation Dr Ste BFort Collins, CO 80525-5540
Phone 970-494-4200
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