Individual
ABBY RAE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
Mailing address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
156899
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2024
Last updated
08/20/2025
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