Most Relevant Information
Provider Data
NPI Number: | 1003502964 |
Provider Name: | CHERUBA A DHANARAJ PHD, LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 04/13/2023 |
Last Updated: | 09/03/2024 |
Provider Practice Location
905 FARRELL AVE
KALAMAZOO
MI
490065523
Practice Location Phone/Fax
Phone: | 6166350677 |
Fax: |
Provider Mailing Location
905 FARRELL AVE
KALAMAZOO
MI
490065523
Provider Mailing Phone/Fax
Phone: | 6166350677 |
Fax: |