Cotrena L Chambliss, LLPC
Case Manager/Care Coordinator in Royal Oak, MI. Individual provider (NPI-1).
NPI number1851643175
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1851643175
- Entity type
- Individual (NPI-1)
- Name
- Cotrena L Chambliss
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2012
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | MI | Yes |
| 101YM0800X | Counselor, Mental Health | 6401013020 | MI | |
| 101YP2500X | Counselor, Professional | 6401013020 | MI |
Practice location
1716 Midtown Cir Unit GRoyal Oak, MI 48073-2097
Phone 248-506-7500
Mailing address
1716 Midtown Cir Unit GRoyal Oak, MI 48073-2097
Phone 248-506-7500
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