Individual
MS. BIANCA JENAY CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2 EATON ST STE 1103, HAMPTON, VA 23669-4054
(757) 838-1894
(757) 838-1895
Mailing address
2 EATON ST STE 1103, HAMPTON, VA 23669-4054
(757) 838-1894
(757) 838-1895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010479
VA
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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