| Cornerstone Brief Therapy, Inc. | |
|
5925 Council St Ne 120 Cedar Rapids IA 52402-5878 | |
| (319) 393-6796 | |
| (319) 378-8621 |
| Full Name | Cornerstone Brief Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5925 Council St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Lonnie R Marshall (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3193936796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Brief Therapy, Inc. 5925 Council St Ne 120 Cedar Rapids IA 52402-5878 Ph: (319) 393-6796 | Cornerstone Brief Therapy, Inc. 5925 Council St Ne 120 Cedar Rapids IA 52402-5878 Ph: (319) 393-6796 |
| NPI Number | 1982614848 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982614848 | NPI | - | NPPES |
| 23629 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 00807 (Iowa) | Secondary |
| 103TH0100X | Psychologist - Health Service | 00337 (Iowa) | Secondary |
| 106H00000X | Marriage & Family Therapist | 00129 (Iowa) | Primary |
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