| Cornerstone Counseling Services Llc | |
|
823 Pine Rock Ave Hamden CT 06514-3332 | |
| (203) 260-0250 | |
| Not Available |
| Full Name | Cornerstone Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 823 Pine Rock Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Ebun Aderibole (LPC) |
| Authorized Official Contact | 2032600250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling Services Llc 823 Pine Rock Ave Hamden CT 06514-3332 Ph: (203) 260-0250 | Cornerstone Counseling Services Llc 823 Pine Rock Ave Hamden CT 06514-3332 Ph: (203) 260-0250 |
| NPI Number | 1942796438 |
|---|---|
| Provider Enumeration Date | 07/08/2018 |
| Last Update Date | 07/08/2018 |
| Medicare PECOS PAC ID | 8820536519 |
|---|---|
| Medicare Enrollment ID | O20240813001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942796438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3461 (Connecticut) | Primary |
| Provider Name | Ebun Aderibole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629446976 PECOS PAC ID: 9739627423 Enrollment ID: I20240813001341 |
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