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Chiquitha Cornelius
NPI 1033499173 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3130 S 11th St Ste 105
Niles, MI 49120 - Phone
- (574) 274-0152
- Organisation at this address
- Michiana Counseling Services Inc
Saundra L. Mortenson, Lmsw, Lcsw, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 102L00000X
103T00000X
103TM1800X
103TP0814X
103TP2701X
104100000X
Psychiatry
253Z00000X
372500000X
372600000X
374U00000X
103TB0200X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan