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NPI Code Detail

MEDICARE: MS. CHERYL CORNELIUS MET

MEDICARE:  MS. CHERYL  CORNELIUS  MET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLADC00684NV
2106H00000XMarriage & Family TherapistMFT0433NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A963073OTHERVALUE OPTIONS

General Provider Information

NPI Number : 1194755835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL CORNELIUS MET
Provider Business Mailing Address
First Line : PO BOX 33310
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-3310
Country : US
Telephone Number : 702-256-6090
Fax Number : 702-256-1310
Provider Business Practice Location Address
First Line : 7375 PRAIRIE FALCON
Second Line : 160
City : LAS VEGAS
State : NV
Zip : 89128-0818
Country : US
Telephone Number : 702-256-6090
Fax Number : 702-256-6090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 09/11/2025

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Directions to “ MS. CHERYL CORNELIUS MET” Practice Location

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