Provider Demographics
NPI:1003502964
Name:DHANARAJ, CHERUBA A (PHD, LPC, MBA)
Entity type:Individual
Prefix:DR
First Name:CHERUBA
Middle Name:A
Last Name:DHANARAJ
Suffix:
Gender:F
Credentials:PHD, LPC, MBA
Other - Prefix:
Other - First Name:CHERUBA
Other - Middle Name:C
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2280 S 11TH ST STE 225
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1910
Mailing Address - Country:US
Mailing Address - Phone:616-635-0677
Mailing Address - Fax:
Practice Address - Street 1:2280 S 11TH ST STE 225
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-1910
Practice Address - Country:US
Practice Address - Phone:209-645-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MI6401224272101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty