Individual
CORYANNA L KU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
54002
CA
101YP2500X
Professional Counselor
Primary
6401010375
MI
106H00000X
Marriage & Family Therapist
54002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841883832
—
MI
Enumeration date
09/14/2007
Last updated
01/11/2024
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