Provider Demographics
NPI:1356675284
Name:CAPPS, CORNELIA INGE (LCDC)
Entity Type:Individual
Prefix:MRS
First Name:CORNELIA
Middle Name:INGE
Last Name:CAPPS
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:761 TANK BATALION BLVD
Practice Address - Street 2:BUILDING 286, DEPARTMENT OF SUBSTANCE ABUSE SERVICES
Practice Address - City:FT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-4852
Practice Address - Country:US
Practice Address - Phone:254-238-1446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor