Individual
ANGELIA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
864 E SANTA CLARA ST, VENTURA, CA 93001-2939
(805) 643-1446
Mailing address
1962 HARVEST LOOP, SANTA PAULA, CA 93060-8007
(760) 587-5275
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
111825
CA
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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