Individual
JODI ANN CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
16519 DOE DR NE, CEDAR SPRINGS, MI 49319
(269) 779-6199
Mailing address
16519 DOE DR NE, CEDAR SPRINGS, MI 49319-8155
(269) 779-6199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017728
MI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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