TANJA DAWN CORNELISON

CHUBBUCK, ID
NPI1215188479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-6510)
Enumeration Date2008-10-07
Last Update Date2026-06-02
Business Address
TANJA DAWN CORNELISON LCPC
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
Mailing Address
TANJA DAWN CORNELISON LCPC
265 E CHUBBUCK RD
CHUBBUCK, ID 83202-5055
Phone number: 208-237-1711
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