JUAN PABLO CORNEJO
NPI 1740772151
Counselor in San Diego, CA

Q: What is Juan Cornejo's NPI number?

The NPI number for Juan Cornejo is 1740772151. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Q: What is Juan Cornejo's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Cornejo was last updated on May 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2018

3660 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 521-2250 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Juan Pablo Cornejo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN PABLO CORNEJO (NPI 1740772151) is an individual counselor in San Diego, California and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1740772151

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJUAN PABLO CORNEJO

Location Address3660 FAIRMOUNT AVESan Diego, CA 92105-3422

Mailing Address3660 Fairmount AveSan Diego, CA 92105-3422 · (619) 521-2250

Phone(619) 521-2250

Sole ProprietorYes

Enumeration DateMay 31, 2018

✔ NPI 1740772151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3660 FAIRMOUNT AVE, San Diego, CA 92105

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