Individual
COTRENA L CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1716 MIDTOWN CIR UNIT G, ROYAL OAK, MI 48073-2097
(248) 506-7500
Mailing address
1716 MIDTOWN CIR UNIT G, ROYAL OAK, MI 48073-2097
(248) 506-7500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401013020
MI
101YP2500X
Professional Counselor
6401013020
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
10/10/2012
Last updated
05/30/2024
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