Provider Demographics
NPI:1013186469
Name:CORNELIUSSEN, KAREN LOUISE ECHERD (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LOUISE ECHERD
Last Name:CORNELIUSSEN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1126 N CHURCH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1000
Mailing Address - Country:US
Mailing Address - Phone:336-235-0944
Mailing Address - Fax:336-235-0951
Practice Address - Street 1:1126 N CHURCH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1000
Practice Address - Country:US
Practice Address - Phone:336-235-0944
Practice Address - Fax:336-235-0951
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS