Provider Demographics
NPI:1750420634
Name:SKIPTON, CORNELIA M (LCPC)
Entity type:Individual
Prefix:
First Name:CORNELIA
Middle Name:M
Last Name:SKIPTON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 MITCHELLVILLE
Mailing Address - Street 2:BOWIE COUNSELING SERVICES SUITE 212
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716
Mailing Address - Country:US
Mailing Address - Phone:301-218-5492
Mailing Address - Fax:301-218-9514
Practice Address - Street 1:3060 MITCHELLVILLE
Practice Address - Street 2:BOWIE COUNSELING SERVICES SUITE 212
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716
Practice Address - Country:US
Practice Address - Phone:301-218-5492
Practice Address - Fax:301-218-9514
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional