| Doctor Name: | JOSH CORDONNIER |
| NPI Number: | 1134409808 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 65511 |
| Business Practice Address: | 600 S Denton Tap Rd Ste 123 Coppell, TX - 750194551 |
| Business Phone Number: | 9376381971 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1696, COPPELL |
| State: | TX |
| Postal Code: | 750191696 |
| Phone Number: | 9376381971 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 65511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |