| Cornerstone Community Counseling Pa | |
|
7401 Flower Ave Takoma Park MD 20912-6425 | |
| (301) 891-1364 | |
| Not Available |
| Full Name | Cornerstone Community Counseling Pa |
|---|---|
| Speciality | Counselor |
| Location | 7401 Flower Ave, Takoma Park, Maryland |
| Authorized Official Name and Position | Jon Thomas (PRESIDENT) |
| Authorized Official Contact | 3018911364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Community Counseling Pa 7401 New Hampshire Ave Suite 1106 Takoma Park MD 20912-6945 Ph: (301) 891-1364 | Cornerstone Community Counseling Pa 7401 Flower Ave Takoma Park MD 20912-6425 Ph: (301) 891-1364 |
| NPI Number | 1295171437 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295171437 | NPI | - | NPPES |
| 050795400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LC4283 (Maryland) | Primary |
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