Individual
KRISTINE ELIZABETH CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(219) 595-0043
(219) 237-2894
Mailing address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(219) 595-0043
(219) 237-2894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004461A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88001071A
LICENSURE
IN
Enumeration date
06/09/2020
Last updated
03/25/2023
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