| Cornerstone Counseling, Llc | |
|
3645 Stutz Dr Canfield OH 44406-9168 | |
| (330) 967-4111 | |
| Not Available |
| Full Name | Cornerstone Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3645 Stutz Dr, Canfield, Ohio |
| Authorized Official Name and Position | Sean Carlos Harding (PARTNER) |
| Authorized Official Contact | 4109242017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling, Llc 3645 Stutz Dr Canfield OH 44406-9168 Ph: (330) 506-1408 | Cornerstone Counseling, Llc 3645 Stutz Dr Canfield OH 44406-9168 Ph: (330) 967-4111 |
| NPI Number | 1710610423 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 0143662551 |
|---|---|
| Medicare Enrollment ID | O20240530000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710610423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nichole R George Cannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235698457 PECOS PAC ID: 3375985005 Enrollment ID: I20240528001465 |
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