Lacey D Corneliusen, LICSW is a mental health counselor in Minot, ND. Lacey D Corneliusen, LICSW NPI is 1871819979. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
6301 19TH AVE NW
MINOT, ND
ZIP 58703-899
Phone: (701) 852-3628
Fax: (701) 852-1190
The enumeration date for this NPI number is 4/14/2010 and was last updated on 12/31/2013.