| Cornerstone Counseling Services | |
|
4811 S 76th St Greenfield WI 53220-4364 | |
| (414) 817-0442 | |
| (414) 817-0442 |
| Full Name | Cornerstone Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4811 S 76th St, Greenfield, Wisconsin |
| Authorized Official Name and Position | Pamela Jean Jenks (A.O.D.A. COUNSLER) |
| Authorized Official Contact | 2625423255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling Services 4811 S 76th St Greenfield WI 53220-4364 Ph: (414) 817-0442 | Cornerstone Counseling Services 4811 S 76th St Greenfield WI 53220-4364 Ph: (414) 817-0442 |
| NPI Number | 1326154378 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326154378 | NPI | - | NPPES |
| 39356400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 684 (Wisconsin) | Primary |
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