Individual
CHRISTA JANE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(815) 677-3475
Mailing address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(815) 677-3475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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